Organization Active NPI

Penn State Health Holy Spirit Medical Center

  • Adolescent and Children Mental Health Clinic/Center
  • Mechanicsburg, PA
National Provider Identifier
1750001467
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER
Practice address
3 Flowers Dr
Mechanicsburg, PA 17050-1701
Phone
(717) 612-1830
Fax
(717) 612-1810
NPI assigned
Sep 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Randy Morris
Title
Cfo
Phone
(717) 531-6238

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

3 Flowers Dr
Mechanicsburg, PA 17050-1701

Mailing address

500 University Drive
MC Ca410
Hershey, PA 17033
Phone (171) 753-1115

Other practice location 1

1849 S York St
Mechanicsburg, PA 17055-5127
Phone (717) 612-1830

Other practice location 2

200 S Broad St
Mechanicsburg, PA 17055-4101
Phone (717) 612-1830

Other practice location 3

1790 S Market St
Mechanicsburg, PA 17055-5610
Phone (717) 612-1830

Other practice location 4

411 N Walnut St
Mechanicsburg, PA 17055-3379
Phone (717) 612-1830

Other practice location 5

100 E Elmwood Ave
Mechanicsburg, PA 17055-4243
Phone (717) 612-1830

Other practice location 6

6746 Carlisle Pike
Mechanicsburg, PA 17050-1711
Phone (717) 612-1830

Other practice location 7

4 Forge Road
Boiling Springs, PA 17007
Phone (717) 612-1830

Other practice location 8

500 S Broad St
Mechanicsburg, PA 17055-4107
Phone (717) 612-1830

Other practice location 9

1750 S Market St
Mechanicsburg, PA 17055-5610
Phone (717) 531-1830

Other practice location 10

505 South Filbert Street
Mechanicsburg, PA 17055
Phone (717) 612-1830

National Provider Directory

National Provider Directory
Tax ID family
Green Hill Family Healt14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

1750 S Market St
Mechanicsburg, PA 17055
Phone (717) 531-1830

6746 Carlisle Pike
Mechanicsburg, PA 17050
Phone (717) 506-3342

411 N Walnut St
Mechanicsburg, PA 17055
Phone (717) 612-1830

1849 S York St
Mechanicsburg, PA 17055
Phone (717) 612-1830

200 S Broad St
Mechanicsburg, PA 17055
Phone (717) 612-1830

1790 S Market St
Mechanicsburg, PA 17055
Phone (717) 612-1830

500 S Broad St
Mechanicsburg, PA 17055
Phone (717) 691-4530

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1750001467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DRIVE",
            "address_2": "MC CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "17033",
            "telephone_number": "171-753-1115",
            "fax_number": "717-531-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FLOWERS DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501701",
            "telephone_number": "717-612-1830",
            "fax_number": "717-612-1810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1849 S York St",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170555127",
            "country_code": "US",
            "telephone_number": "717-612-1830",
            "fax_number": "717-612-1810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554101",
            "country_code": "US",
            "telephone_number": "717-612-1830",
            "fax_number": "717-612-1810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1790 S Market St",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170555610",
            "country_code": "US",
            "telephone_number": "717-612-1830",
            "fax_number": "717-612-1810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 N Walnut St",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170553379",
            "country_code": "US",
            "telephone_number": "717-612-1830",
            "fax_number": "717-612-1810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554243",
            "country_code": "US",
            "telephone_number": "717-612-1830",
            "fax_number": "171-612-1810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6746 Carlisle Pike",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170501711",
            "country_code": "US",
            "telephone_number": "717-612-1830",
            "fax_number": "717-612-1810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Forge Road",
            "address_purpose": "LOCATION",
            "city": "Boiling Springs",
            "state": "PA",
            "postal_code": "17007",
            "country_code": "US",
            "telephone_number": "717-612-1830",
            "fax_number": "717-612-1810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554107",
            "country_code": "US",
            "telephone_number": "717-612-1830",
            "fax_number": "717-612-1810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 S Market St",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170555610",
            "country_code": "US",
            "telephone_number": "717-531-1830",
            "fax_number": "717-612-1810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 South Filbert Street",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "17055",
            "country_code": "US",
            "telephone_number": "717-612-1830",
            "fax_number": "717-612-1810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "717-531-6238"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.