Organization Active NPI

Forest Park Health Center

  • Skilled Nursing Facility
  • Carlisle, PA
National Provider Identifier
1699769828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
60802 Issued in PA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1007494880003MedicaidPA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.