NPIMap

Organization Active NPI

Hamilton Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Harrisburg, PA
National Provider Identifier
1497779862
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HAMILTON HEALTH CENTER, INC.
Practice address
110 S 17TH St
Harrisburg, PA 17104-1123
Phone
(717) 232-9971
NPI assigned
Jul 27, 2006
Last updated
Aug 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
Brooke Sheaffer
Title
Director of Billing and Utilization
Phone
(717) 230-3926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

110 S 17TH St
Harrisburg, PA 17104-1123

Mailing address

110 S 17TH St
Harrisburg, PA 17104-1123
Phone (717) 230-3906

Other practice location 1

1821 Fulton St
Harrisburg, PA 17102-1522
Phone (717) 230-3906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070326000535 PA Part B Supplier - Clinic/Group Practice 0042119547 Receives reassigned benefits from 31 practitioners
1 other NPI on this enrollment
Practice locations: Harrisburg, PA; Millersburg, PA; Newport, PA; Steelton, PA
O20110311000171 PA Part A Provider - Federally Qualified Health Center (FQHC) 0042119547 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Harrisburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497779862. Details of each certification follow.

Federally qualified health center certification: CCN 391808

Legal name
HAMILTON HEALTH CENTER, INC.
Doing business as
CAPITAL REGION HEALTH SYSTEM AT HAMILTON HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 1, 1992
Last certification
Jan 1, 1992
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 1969 in PA
Enrollment address
110 S 17TH St
Harrisburg, PA 17104-1123

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Richard Utley Individual Corporate Director Jun 7, 2011
Corey Rigberg Individual Corporate Director Jun 7, 2011
Juanita Curtis Individual Corporate Director Jun 7, 2011
Rachel Hammond Individual Corporate Director Jun 7, 2011
Ieisha Johnson Individual Operational/Managerial ControlSenior Credentialing Specialist Mar 21, 2022
Christine Warren Individual W-2 Managing EmployeeCredentialing Specialist Jan 21, 2020
Joseph McLaughlin Individual Corporate OfficerChief Financial Officer Sep 30, 2022
Linda Cammack Individual Corporate Director Jun 7, 2011
Brenda Jones Individual Corporate Director Jun 7, 2011
Terese McIntyre-Delaplaine Individual Corporate OfficerCeo and President Jul 5, 2022
Sarah Weedon Individual Corporate Director Jun 7, 2011
Michael Harris Individual Corporate Director Jun 7, 2011
Robert G Little Individual Corporate Director Jun 7, 2011
Jermaine Crosson Individual Corporate Director Jun 7, 2011
Osbia Jones Individual Corporate Director Jun 7, 2011

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hamilton Health Center, Inc.Harrisburg, PA, CCN 391186 Federally qualified health center Operational/Managerial Control (100%)
Other		 Oct 1, 2017
Apr 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 31

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 31

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1497779862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 17TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041123",
            "telephone_number": "717-230-3906",
            "fax_number": "717-230-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 17TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041123",
            "telephone_number": "717-232-9971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171021522",
            "country_code": "US",
            "telephone_number": "717-230-3906",
            "fax_number": "717-230-3914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAMILTON HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "SHEAFFER",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING AND UTILIZATION",
        "authorized_official_telephone_number": "717-230-3926"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.