NPIMap

Organization Active NPI

Sadler Health Center Corporation

  • Federally Qualified Health Center (FQHC)
  • Mechanicsburg, PA
National Provider Identifier
1619681616
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SADLER HEALTH CENTER CORPORATION
Practice address
5210 E Trindle Rd
Mechanicsburg, PA 17050-3522
Phone
(866) 723-5377
NPI assigned
Jan 13, 2023
Last updated
Jan 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Joanna Musser
Title
Revenue Cycle Manager
Phone
(717) 960-6911

Specialties & licenses 1

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

Addresses

Primary practice location

5210 E Trindle Rd
Mechanicsburg, PA 17050-3522

Mailing address

5210 E Trindle Rd
Mechanicsburg, PA 17050-3522
Phone (866) 723-5377

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040811000315 PA Part B Supplier - Clinic/Group Practice 4688646573 Receives reassigned benefits from 30 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carlisle, PA; Mechanicsburg, PA
O20231228002793 PA Part A Provider - Federally Qualified Health Center (FQHC) 4688646573 Practice locations: Mechanicsburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619681616. Details of each certification follow.

Federally qualified health center certification: CCN 731181

Legal name
SADLER HEALTH CENTER CORPORATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 1, 2023
Last certification
Dec 1, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 25, 2002 in PA
Enrollment address
5210 E Trindle Rd
Mechanicsburg, PA 17050-3522

Other NPIs with the same Medicare PAC ID 2

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
Tax ID family
Sadler Health Center Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Tyler Ct
Ste 2
Carlisle, PA 17015

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
Ralph Crone Individual Corporate DirectorBoard Member Jun 27, 2017
Gregory L Lewis Individual Corporate DirectorBoard Member May 1, 2020
Manal El Harrak Individual Corporate OfficerChief Executive Officer Jul 1, 2019 100%
W-2 Managing EmployeeChief Executive Officer Jul 1, 2019
Ayanna Byers Individual Corporate DirectorBoard Member Feb 28, 2023
Jane F Burke Individual Corporate DirectorBoard Vice-Chair Jun 22, 2017
Rosemary Backer Individual Corporate DirectorBoard Secretary Nov 24, 2020
Sarah Cox Individual Corporate DirectorBoard Member Feb 28, 2023
Taryn Smith Individual Corporate DirectorBoard Member Feb 28, 2023
Keith Kitzmiller Individual Corporate DirectorBoard Member Jan 24, 2023
Patricia Holby Individual Corporate DirectorBoard Member May 28, 2019
Ashley Williams Individual Corporate DirectorBoard Member Apr 28, 2019
Michael Wolf Individual Corporate DirectorBoard Chair Oct 27, 2015
Paul B Krone Individual Corporate DirectorBoard Treasurer May 28, 2019

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1619681616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 E TRINDLE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503522",
            "telephone_number": "866-723-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 E TRINDLE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503522",
            "telephone_number": "866-723-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADLER HEALTH CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "MUSSER",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "717-960-6911"
    },
    "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 Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.