NPIMap

Organization Active NPI

Sadler Health Center Corporation

  • Federally Qualified Health Center (FQHC)
  • Loysville, PA
National Provider Identifier
1740414416
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SADLER HEALTH CENTER CORPORATION
Practice address
1104 Montour Rd
Loysville, PA 17047-9200
Phone
(717) 218-6670
Fax
(717) 218-6671
NPI assigned
May 11, 2009
Last updated
Jan 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SADLER HEALTH CENTER CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Joanna Musser
Title
Revenue Cycle Manager
Phone
(717) 960-6911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1104 Montour Rd
Loysville, PA 17047-9200

Mailing address

100 N Hanover St
Carlisle, PA 17013-2421
Phone (717) 218-6670

Other identifiers 1

IdentifierTypeStateIssuer
0019445370005MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140930000141 PA Part A Provider - Federally Qualified Health Center (FQHC) 4688646573 Practice locations: Loysville, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740414416. Details of each certification follow.

Federally qualified health center certification: CCN 391045

Legal name
SADLER HEALTH CENTER CORPORATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 17, 2014
Last certification
Sep 17, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 25, 2012 in PA
Enrollment address
1104 Montour Rd
Loysville, PA 17047-9200

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Sadler Health Center Co4 organizations share this tax ID, including this one
Part of
Sadler Health Center Co

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Ralph Crone Individual Corporate DirectorBoard Member Jun 27, 2017
Gregory L Lewis Individual Corporate DirectorBoard Member May 1, 2020
Manal El Harrak Individual Corporate Officer Jul 1, 2019
W-2 Managing EmployeeChief Executive Officer Jul 1, 2019 100%
Ayanna Byers Individual Corporate DirectorBoard Member Feb 28, 2023
Jane F Burke Individual Corporate DirectorVice Chair Jun 22, 2017
Rosemary Backer Individual Corporate DirectorSecretary Nov 24, 2020
Keith Kitzmiller Individual Corporate DirectorBoard Member Jan 24, 2023
Patricia Holby Individual Corporate DirectorBoard Member May 28, 2019
Ashley Williams Individual Corporate Director Apr 28, 2019
Michael Wolf Individual Corporate DirectorChair Oct 27, 2015
Paul B Krone Individual Corporate DirectorTreasurer Jun 23, 2014

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1740414416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HANOVER ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132421",
            "telephone_number": "717-218-6670",
            "fax_number": "717-218-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MONTOUR RD",
            "city": "LOYSVILLE",
            "state": "PA",
            "postal_code": "170479200",
            "telephone_number": "717-218-6670",
            "fax_number": "717-218-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADLER HEALTH CENTER CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SADLER HEALTH CENTER CORPORATION",
        "enumeration_date": "2009-05-11",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "MUSSER",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "717-960-6911"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019445370005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loysville, PA

Sources for this page

Verify at the official NPI Registry.