Active NPI
Forest Park Health Center
- Skilled Nursing Facility
- Carlisle, PA
National Provider Identifier
1699769828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 60802
- Legal business name
- FOREST PARK HEALTH CENTER
- Practice address
- 700 Walnut Bottom Rd
Carlisle, PA 17013-3631 - Phone
- (717) 303-4926
- Fax
- (717) 737-6763
- NPI assigned
- Sep 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Garriann Hearn
- Title
- Ar Manager
- Phone
- (717) 303-4926
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 60802 | PA | Primary |
Addresses
Primary practice location
700 Walnut Bottom Rd
Carlisle, PA 17013-3631
Mailing address
1217 Slate Hill Rd
Camp Hill, PA 17011-8012
Phone (717) 303-4926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007494880003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699769828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 SLATE HILL RD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170118012",
"telephone_number": "717-303-4926",
"fax_number": "717-737-6763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 WALNUT BOTTOM RD",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133631",
"telephone_number": "717-303-4926",
"fax_number": "717-737-6763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREST PARK HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HEARN",
"authorized_official_first_name": "GARRIANN",
"authorized_official_title_or_position": "AR MANAGER",
"authorized_official_telephone_number": "717-303-4926",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "60802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007494880003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.