NPIMap

Organization Active NPI

Fulton County Medical Center

  • Skilled Nursing Facility
  • McConnellsburg, PA
National Provider Identifier
1700834314
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FULTON COUNTY MEDICAL CENTER
Practice address
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone
(717) 485-2880
Fax
(717) 485-6105
NPI assigned
May 5, 2006
Last updated
Jul 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Kimberly S Meyers
Title
Manager
Phone
(717) 485-3155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X PA Primary

Addresses

Primary practice location

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559

Mailing address

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone (717) 485-2880

Other identifiers 2

IdentifierTypeStateIssuer
1527OtherPAHIGHMARK- SKILLED
395387OtherPACAPITAL BLUE-SKILLED

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070119000030 PA Part A Provider - Skilled Nursing Facility 6406841295 Practice locations: MC Connellsburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700834314. Details of each certification follow.

Skilled nursing facility certification: CCN 395387

Legal name
FULTON COUNTY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 7, 1977
Last certification
Apr 17, 2025
Beds
67
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Incorporated
Aug 18, 1947 in PA
Enrollment address
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Nursing home name
FULTON COUNTY MEDICAL CENTER

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fulton County Medical CenterCCN 395387 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Feb 7, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6749.1 residents per day on average
Penalties (3 years)
2Fines totaling $16,801

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Fulton County Medical C6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

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
Mary Wright Individual Corporate OfficerBoard of Directors - Member Jan 1, 2018
Sean Fraker Individual Corporate DirectorMember, Board of Directors Jan 1, 2020
Tina R Gress Individual Corporate DirectorBoard of Directors - Member Jan 1, 2019
Douglas D Stern Individual Managing Control - Governing BodyMedical Director Jan 1, 2024
Adp of the SNF Oct 14, 2025
Timothy Hann Individual Corporate DirectorBoard of Directors - Treasurer Jan 1, 2015
Virginia Palmer Individual Corporate DirectorBoard of Directors - Member Jan 1, 2015
Michael Makosky Individual Corporate DirectorChief Executive Officer Jul 1, 2018
Indirect Ownership Interest Jul 1, 2018
Scott Alexander Individual Corporate DirectorBoard of Directors-Vice Chair Jan 1, 2017
Mark Mellott Individual Corporate DirectorBoard of Directors - Member Jan 1, 2017
Lisa Daniels Individual Corporate DirectorBoard of Directors-Secretary Jan 1, 2018
Frank L D'Amelio Individual Corporate DirectorBoard of Directors - Member Jan 1, 2012
Penelope Shives Individual Corporate DirectorBoard of Directors - Secretary Jan 1, 2015
Kimberly Slee Individual Corporate DirectorChief Operating Officer Oct 6, 2017
Operational/Managerial ControlInterim Co-Ceo and Coo Oct 6, 2017
Adp of the SNF May 7, 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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1700834314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 PEACH ORCHARD RD",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172338559",
            "telephone_number": "717-485-2880",
            "fax_number": "717-485-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PEACH ORCHARD RD",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172338559",
            "telephone_number": "717-485-2880",
            "fax_number": "717-485-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "717-485-3155"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK- SKILLED",
            "identifier": "1527",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE-SKILLED",
            "identifier": "395387",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McConnellsburg, PA

Sources for this page

Verify at the official NPI Registry.