NPIMap

Organization Active NPI

Ephrata Community Hospital

  • Registered Dietitian
  • Stevens, PA
National Provider Identifier
1568645448
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003824 Issued in PA
Legal business name
EPHRATA COMMUNITY HOSPITAL
Practice address
69 W Church St
Stevens, PA 17578-9203
Phone
(717) 721-8790
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Orie Chambers
Title
Interim President & VP Patient Care
Phone
(717) 721-5760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DN003824 PA Primary

Addresses

Primary practice location

69 W Church St
Stevens, PA 17578-9203

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other identifiers 1

IdentifierTypeStateIssuer
1007464680125MedicaidPA

Other names 3

  • WellSpan Ephrata Community Hospital Doing business as
  • ECH-Dietary/The Wellness Center Other name
  • WellSpan Ephrata Community Hospital Dietitian Group Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419000350 PA Part B Supplier - Hospital Department(S) 4981514445 Receives reassigned benefits from 3 practitioners
Practice locations: Stevens, PA

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory

Locations

69 W Church St
Stevens, PA 17578
Phone (717) 336-6578

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1568645448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 W CHURCH ST",
            "city": "STEVENS",
            "state": "PA",
            "postal_code": "175789203",
            "telephone_number": "717-721-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRATA COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "ORIE",
        "authorized_official_title_or_position": "INTERIM PRESIDENT & VP PATIENT CARE",
        "authorized_official_telephone_number": "717-721-5760"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007464680125",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpan Ephrata Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ECH-Dietary/The Wellness Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "WellSpan Ephrata Community Hospital Dietitian Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stevens, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.