Organization · Type 2 NPI

Evangelical Community Hospital

Ambulatory Surgical Clinic/Center · Lewisburg, PA

NPI number 1255829347 Active

Practice location

90 Medical Park Dr
Lewisburg, PA 17837-6343

Call (570) 524-1213 Map

Fax (570) 524-0362

Mailing address

601 Memory Ln
York, PA 17402-2231

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

3 other providers at this address

Eileen Jessica Jerdon, CRNACertified Registered Nurse Anesthetist Lewisburg, PA NPI 1467415232
Rebecca Costa, PAPhysician Assistant Lewisburg, PA NPI 1912991506
Vladimir Petorak Jr., MDGastroenterology Physician Lewisburg, PA NPI 1871575134

Other ambulatory surgical clinic/center providers in Lewisburg

See all in Lewisburg →

NPI record

NPI: 1255829347
Entity type: Organization (Type 2)
Issued: Apr 25, 2018
Last updated: Oct 22, 2026
Status: Active
Subpart: Yes of Evangelical Community Hospital

Other names

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Evangelical Community Hospital Endoscopy Center · other name
Evangelical Community Hospital Endoscopy Center · other name

Authorized official

Allen Fasnacht
VP and President
(570) 522-2602

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255829347

Evangelical Community Hospital's National Provider Identifier is 1255829347, issued on Apr 25, 2018. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Lewisburg, PA. The record was last updated on Oct 22, 2026.