NPIMap

Organization Active NPI

Fulton County Medical Center

  • Critical Access Hospital
  • McConnellsburg, PA
National Provider Identifier
1386722312
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
061901 Issued in PA
Legal business name
FULTON COUNTY MEDICAL CENTER
Practice address
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone
(717) 485-2880
Fax
(717) 485-6105
NPI assigned
Nov 1, 2006
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Kimberly S Meyers
Title
Manager
Phone
(717) 485-3155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 061901 PA Primary

Addresses

Primary practice location

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559

Mailing address

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone (717) 485-2880

Other identifiers 2

IdentifierTypeStateIssuer
0641OtherPAHIGHMARK-SWING
395387OtherPACAPITAL BLUE-SWING

Other names 1

  • Swing Bed Unit Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220806000231 PA Part A Provider - Critical Access Hospital 6406841295 Practice locations: MC Connellsburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386722312. Details of each certification follow.

Hospital certification: CCN 39Z303

Legal name
FULTON COUNTY MEDICAL CENTER
Organization structure
CorporationProprietary
Enrollment address
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory

Locations

622 Water St
Orbisonia, PA 17243
Phone (814) 447-3062

18015 Path Valley Rd
Spring Run, PA 17262
Phone (717) 485-7300

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Mary Wright Individual Corporate DirectorMember, Board of Directors Jan 1, 2011
Sean Fraker Individual Corporate DirectorMember, Board of Directors Jan 1, 2020
Tina R Gress Individual Corporate DirectorMember, Board of Directors Jan 1, 2019
Douglas D Stern Individual Corporate Director Jan 1, 2016
Timothy Hann Individual Corporate DirectorTreasurer, Board of Directors Jan 1, 2016
Virginia Palmer Individual Corporate Director Jan 1, 2016
Michael Makosky Individual Corporate OfficerChief Executive Officer Jun 25, 2018
W-2 Managing EmployeeChief Executive Officer Jun 25, 2018
Scott Alexander Individual Corporate DirectorVice Chair, Board of Directors Jan 1, 2016
Mark Mellott Individual Corporate DirectorMember, Board of Directors Jan 1, 2018
Lisa Daniels Individual Corporate DirectorSecretary, Board of Directors Jan 1, 2018
Frank L D'Amelio Individual Corporate DirectorMember, Board of Directors Jan 1, 2017
Penelope Shives Individual Corporate DirectorSecretary, Board of Directors Jan 1, 2016
Kimberly Slee Individual Corporate OfficerChief Operating Officer Oct 6, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 93

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 93

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1386722312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 PEACH ORCHARD RD",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172338559",
            "telephone_number": "717-485-2880",
            "fax_number": "717-485-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PEACH ORCHARD RD",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172338559",
            "telephone_number": "717-485-2880",
            "fax_number": "717-485-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "717-485-3155"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "PA",
            "license": "061901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK-SWING",
            "identifier": "0641",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE-SWING",
            "identifier": "395387",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swing Bed Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McConnellsburg, PA

Sources for this page

Verify at the official NPI Registry.