Hamilton Health Center, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Harrisburg, PA
NPI 1497779862 · NPPES record last updated Aug 20, 2019
Key facts
- NPI
- 1497779862
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 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
- Organization subpart
- No
Authorized official
- Name
- Brooke Sheaffer
- Title
- Director of Billing and Utilization
- Phone
- (717) 230-3926
Owners & managing parties with NPI records 1
-
Corey Nyles Rigberg, M.D.
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 5
Practitioners 40
-
Justin M Berman, PA-C
-
Joyce McCadney, MSW,LSW
-
Krupa Patel, DPM
-
Mavis Sesay, CRNP
-
Esther Anyatonwu, NP
-
Julia Maria Lara, CRNP
-
Robert J. Sena, M.D.
-
Julie G Stover, CRNP
-
Som N Timsina, CRNP
-
Lori A. Dugas, LMSW-CC
-
Dom N Acharya, PA-C
-
Casey Hart Baer, NURSE PRACTITIONER
-
Heather Marie Lupole, CRNP
-
John Shedlosky Panas, DMD
-
Kyra Lynn Ryan, FNP-C
-
Kathryn Zetler, CRNP
-
Steven F Dorfman, DC
-
Sheena Emmanuel, DMD
-
Dewitt Miller, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
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
- Corporation · Non-profit
- Incorporated
- Aug 1, 1969 in PA
- Enrollment address
- 110 S 17TH St
Harrisburg, PA 17104-1123
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Richard Utley |
Corporate Director | Jun 7, 2011 | |
| Corey Rigberg |
Corporate Director | Jun 7, 2011 | |
| Juanita Curtis |
Corporate Director | Jun 7, 2011 | |
| Rachel Hammond |
Corporate Director | Jun 7, 2011 | |
| Ieisha Johnson |
Operational/Managerial Control |
Mar 21, 2022 | |
| Christine Warren |
W-2 Managing Employee |
Jan 21, 2020 | |
| Joseph McLaughlin |
Corporate Officer |
Sep 30, 2022 | |
| Linda Cammack |
Corporate Director | Jun 7, 2011 | |
| Brenda Jones |
Corporate Director | Jun 7, 2011 | |
| Terese McIntyre-Delaplaine |
Corporate Officer |
Jul 5, 2022 | |
| Sarah Weedon |
Corporate Director | Jun 7, 2011 | |
| Michael Harris |
Corporate Director | Jun 7, 2011 | |
| Robert G Little |
Corporate Director | Jun 7, 2011 | |
| Jermaine Crosson |
Corporate Director | Jun 7, 2011 | |
| Osbia Jones |
Corporate Director | Jun 7, 2011 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Hamilton Health Center, Inc. |
Federally qualified health center | Operational/Managerial Control (100%) Other |
Oct 1, 2017 Apr 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007480790024 | Medicaid | PA |
Other providers in Harrisburg, PA
- Hamilton Health Center, Inc
- Hamilton Health Center, Inc
- Hamilton Health Center, Inc
- Hamilton Health Center, Inc.
- Hamilton Health Center, Inc.
- Hamilton Health Center@ Downey
- Linda Louise Hamilton
- Austin Hammaker
- Krystal Hammar
- Angela Hammert
All providers in Harrisburg, PA · Federally Qualified Health Center (FQHC) in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.