NPIMap

Organization Active NPI

The Chambersburg Hospital

Doing business as WellSpan Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
National Provider Identifier
1669523320
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE CHAMBERSBURG HOSPITAL
Doing business as
WellSpan Chambersburg Hospital
Practice address
112 N 7TH St
Chambersburg, PA 17201-1720
Phone
(717) 267-3000
NPI assigned
Jan 16, 2007
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
John Massimilla
Title
VP
Phone
(717) 267-7139

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
General Acute Care Hospital 282N00000X 036001 PA

Addresses

Primary practice location

112 N 7TH St
Chambersburg, PA 17201-1720

Mailing address

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

Other practice location 1

1600 Orchard Drive
WellSpan Rehabilitation & Results Fitness
Chambersburg, PA 17201
Phone (717) 262-4650

Other practice location 2

761 5th Avenue
Fifth Avenue Lab
Chambersburg, PA 17201
Phone (717) 267-0969

Other practice location 3

97 Progress Boulevard
Progress Professional Building
Shippensburg, PA 17257
Phone (717) 267-6116

Other practice location 4

22 St. Paul Drive
Summit Health Building 1-Cardiology Testing
Chambersburg, PA 17201
Phone (717) 217-6988

Other practice location 5

2 Keefer Drive
Mercersburg Health Center Lab
Mercersburg, PA 17236
Phone (717) 328-2626

Other practice location 6

12 St. Paul Drive
Patrick O'Donnell Pavillion
Chambersburg, PA 17201
Phone (717) 217-6745

Other practice location 7

46 Walnut Bottom Road
Shippensburg Health Services
Shippensburg, PA 17257
Phone (717) 530-5333

Other practice location 8

50 Eastern Avenue
Greencastle Health Services
Greencastle, PA 17225
Phone (717) 597-5537

Other practice location 9

59 North 7th Street
WellSpan Center for Dizziness & Balance Disorders
Chambersburg, PA 17201
Phone (717) 709-4700

Other practice location 10

8131 Spyglass Hill Dr
WellSpan Chambersburg Hospital OP Rehab
Fayetteville, PA 17222
Phone (717) 765-3670

Other practice location 11

220 Wilson St
Carlisle, PA 17013-3697
Phone (717) 249-1929

Other identifiers 10

IdentifierTypeStateIssuer
1007459700049MedicaidPA
1007459700050MedicaidPA
1007459700048MedicaidPA
1007459700053MedicaidPA
1007459700054MedicaidPA
1007459700055MedicaidPA
1007459700051MedicaidPA
1007459700052MedicaidPA
1007459700056MedicaidPA
1007459700061MedicaidPA

Other names 1

  • WellSpan Chambersburg Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071210000579 PA Part A Provider - Hospital 5496748303 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Shippensburg, PA; Chambersburg, PA; Mercersburg, PA; Greencastle, PA; Fayetteville, PA; Carlisle, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669523320. Details of each certification follow.

Hospital certification: CCN 390151

Legal name
THE CHAMBERSBURG HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 19, 2015
Beds
274
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1904 in PA
Enrollment address
112 N Seventh St
Chambersburg, PA 17201-1720
Hospital subgroups
Acute care

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

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Wellspan Chambersburg HospitalCCN 390151 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Neurology Chambersburg9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

220 Wilson St
Carlisle, PA 17013
Phone (717) 243-7598

22 St Paul Dr
Bldg 1CARDIOLOGY
Chambersburg, PA 17201
Phone (717) 217-6988

761 5th Ave
Chambersburg, PA 17201
Phone (717) 261-2583

46 Walnut Bottom Rd
Shippensburg, PA 17257
Phone (717) 477-2764

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Laura Buczkowski Individual Corporate OfficerSr VP and Cfo Jan 1, 2021
Roxanna L Gapstur Individual Other Jan 2, 2019
Edward J Mackle Individual Corporate DirectorBoard Member Apr 23, 2009
Horace F Martin Individual Corporate DirectorBoard Member Jan 1, 2021
David a Doud Individual Corporate DirectorBoard Member Oct 31, 2015
Edward T Schuurman Individual Corporate OfficerDirector Jan 1, 2023
Corporate DirectorDirector Jan 1, 2023
Lissa Hinckle Individual Corporate DirectorEx Officio (Voting) Jan 1, 2025
W-2 Managing Employee Jul 1, 2025
Julianne Craig Individual Corporate DirectorBoard Member Jan 1, 2022
Michael B Seim Individual Corporate DirectorBoard Member Ex-Officio Jan 1, 2021
David Lovett Individual Corporate DirectorBoard Member Jan 1, 2022
Patricia Green-Rodgers Individual Corporate DirectorBoard Member Jan 1, 2022
Andrew Cochrane Individual Corporate DirectorVP and President Oct 6, 2025
W-2 Managing EmployeeVP and President Oct 6, 2025
Cheryl Plummer Individual Corporate OfficerChair Nov 30, 2011
Corporate DirectorChair Nov 30, 2011
Monica Mata Campos Individual Corporate DirectorBoard Member Jan 1, 2024
Roy Happel Individual Corporate OfficerDirector Jan 1, 2023
Corporate DirectorDirector Jan 1, 2023
Wellspan Health Organization, York, PA Corporation, Non-profit Operational/Managerial Control Nov 1, 2018
Other Nov 1, 2018
Stephen J Holoviak Individual Corporate DirectorBoard Member Nov 30, 2013
Wellspan Summit Health Organization, Chambersburg, PA Corporation, Non-profit Operational/Managerial Control Feb 9, 1995
Other Feb 9, 1995
Denis Onieal Individual Corporate OfficerVice Chair Oct 31, 2018
Corporate DirectorVice Chair Oct 31, 2018

Owners & managing parties with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 10

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.

Affiliated clinicians 1,068

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

View all 1,068

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1669523320",
    "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": "112 N 7TH ST",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011720",
            "telephone_number": "717-267-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Orchard Drive",
            "address_2": "WellSpan Rehabilitation & Results Fitness",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "17201",
            "country_code": "US",
            "telephone_number": "717-262-4650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "761 5th Avenue",
            "address_2": "Fifth Avenue Lab",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "17201",
            "country_code": "US",
            "telephone_number": "717-267-0969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Progress Boulevard",
            "address_2": "Progress Professional Building",
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            "country_code": "US",
            "telephone_number": "717-267-6116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 St. Paul Drive",
            "address_2": "Summit Health Building 1-Cardiology Testing",
            "address_purpose": "LOCATION",
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            "state": "PA",
            "postal_code": "17201",
            "country_code": "US",
            "telephone_number": "717-217-6988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Keefer Drive",
            "address_2": "Mercersburg Health Center Lab",
            "address_purpose": "LOCATION",
            "city": "Mercersburg",
            "state": "PA",
            "postal_code": "17236",
            "country_code": "US",
            "telephone_number": "717-328-2626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St. Paul Drive",
            "address_2": "Patrick O'Donnell Pavillion",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "17201",
            "country_code": "US",
            "telephone_number": "717-217-6745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Walnut Bottom Road",
            "address_2": "Shippensburg Health Services",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "17257",
            "country_code": "US",
            "telephone_number": "717-530-5333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Eastern Avenue",
            "address_2": "Greencastle Health Services",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "17225",
            "country_code": "US",
            "telephone_number": "717-597-5537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 North 7th Street",
            "address_2": "WellSpan Center for Dizziness & Balance Disorders",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "17201",
            "country_code": "US",
            "telephone_number": "717-709-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8131 Spyglass Hill Dr",
            "address_2": "WellSpan Chambersburg Hospital OP Rehab",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "PA",
            "postal_code": "17222",
            "country_code": "US",
            "telephone_number": "717-765-3670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Wilson St",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170133697",
            "country_code": "US",
            "telephone_number": "717-249-1929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CHAMBERSBURG HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "MASSIMILLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "717-267-7139"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "036001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007459700049",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007459700050",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007459700048",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007459700053",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007459700054",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007459700055",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007459700051",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007459700052",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007459700056",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007459700061",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WellSpan Chambersburg Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellSpan Chambersburg Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.