NPIMap

Organization Active NPI

Ephrata Community Hospital

Doing business as Ephrata Hospitalist Group

  • Hospitalist Physician
  • Ephrata, PA
National Provider Identifier
1700023041
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
EPHRATA COMMUNITY HOSPITAL
Doing business as
Ephrata Hospitalist Group
Practice address
169 Martin Ave
Ephrata, PA 17522-1002
Phone
(717) 738-6845
Fax
(717) 738-6675
NPI assigned
Jan 8, 2009
Last updated
Feb 22, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
EPHRATA COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Mr. John A. Holmes
Title
Cfo
Phone
(717) 738-6845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X Primary

Addresses

Primary practice location

169 Martin Ave
Ephrata, PA 17522-1002

Mailing address

169 Martin Ave
PO Box 1002
Ephrata, PA 17522-1002
Phone (717) 738-6845

Other names 1

  • Ephrata Hospitalist Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071207000860 PA Part A Provider - Hospital 4981514445 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ephrata, PA; Stevens, PA; Reinholds, PA; New Holland, PA; Leola, PA; Lancaster, PA; Christiana, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700023041. Details of each certification follow.

Hospital certification: CCN 390225

Legal name
EPHRATA COMMUNITY HOSPITAL
Doing business as
WELLSPAN EPHRATA COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 19, 2025
Beds
141 (126 certified)
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Incorporated
Apr 30, 1940 in PA
Enrollment address
169 Martin Ave
Ephrata, PA 17522-1734
Hospital subgroups
General

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 Ephrata Community HospitalCCN 390225 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Ephrata Community Hospi

Ownership & related parties

All disclosed owners & managing parties 16

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 OfficerCfo Nov 30, 2020
W-2 Managing EmployeeSenior VP & Cfo Nov 30, 2020
Roxanna L Gapstur Individual Other Jan 2, 2019
Robert Hoffman Individual Corporate DirectorBoard Member Jan 1, 2021
Robert J Funk Individual Corporate DirectorBoard Member Jan 1, 2021
Stephen a Lindsey Individual Corporate DirectorBoard Member Jan 1, 2021
Christopher L Grant Individual Corporate DirectorBoard Member Jan 1, 2021
Roger Zimmerman Individual Corporate DirectorBoard Member Jan 1, 2021
Carrie Wilson Individual Corporate DirectorDirector Nov 1, 2016
Moniqua Acosta Individual Corporate DirectorVice Chair Jan 1, 2021
Michael B Seim Individual Corporate DirectorBoard Member Jan 1, 2021
Amanda Khara Davis-Buie Individual Corporate DirectorBoard Member Jan 1, 2021
Kimberly Shaun Kreider Umble Individual Corporate DirectorBoard Member Jan 1, 2021
Wellspan Health Organization, York, PA Corporation, Non-profit Operational/Managerial Control Oct 1, 2013
Other Oct 1, 2013
Edward Joseph Tadajweski Individual Corporate DirectorBoard Member Jan 1, 2021
James Stuccio Individual Corporate Director Jan 1, 2025
Orie Chambers Individual Corporate OfficerVP & Ech Cno Mar 23, 2025
W-2 Managing EmployeeVP & Ech Cno Mar 23, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 738

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

View all 738

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1700023041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "address_2": "PO BOX 1002",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221002",
            "telephone_number": "717-738-6845",
            "fax_number": "717-738-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221002",
            "telephone_number": "717-738-6845",
            "fax_number": "717-738-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRATA COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPHRATA COMMUNITY HOSPITAL",
        "enumeration_date": "2009-01-08",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "717-738-6845",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ephrata Hospitalist Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.