Organization Active NPI

GSL Hospital

  • General Acute Care Hospital
  • Orwigsburg, PA
National Provider Identifier
1265096069
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
GSL HOSPITAL
Practice address
100 Paramount Boulevard
Orwigsburg, PA 17961
Phone
(484) 526-4000
NPI assigned
Apr 26, 2019
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Chiavaroli
Title
Cvo Supervisor
Phone
(484) 526-3569

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

100 Paramount Boulevard
Orwigsburg, PA 17961

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190924002657 PA Part A Provider - Hospital 8921338583 Practice locations: Orwigsburg, PA; Pottsville, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265096069. Details of each certification follow.

Hospital certification: CCN 390332

Legal name
GSL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 13, 2019
Last certification
Mar 20, 2024
Beds
60 (54 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 26, 2017 in PA
Enrollment address
100 Paramount Blvd
Orwigsburg, PA 17961-2202
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Geisinger St. Luke's HospitalCCN 390332 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
St Luke's Health Network Inc Organization, Bethlehem, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
Gabriel Kamarousky Individual Corporate OfficerCeo of GSL Hospital Oct 1, 2019
Scott Wolfe Individual Corporate DirectorSenior VP Finance Nov 28, 2021
W-2 Managing EmployeeSenior VP Finance Nov 27, 2021

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

Affiliated clinicians 437

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 437

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1265096069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARAMOUNT BOULEVARD",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "17961",
            "telephone_number": "484-526-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CVO SUPERVISOR",
        "authorized_official_telephone_number": "484-526-3569"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orwigsburg, PA

Sources for this page

Verify at the official NPI Registry.