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PROVIDER2015DIRECTORY

(Printed 11/2014)

Secure

Choice

SM

Hospitals, Behavioral Health

Care Facilities, SNFs,

Ancillaries, and Clinical

Laboratories

(2)

December 2014

Page 1

H

OSPITALS

The following section lists network hospitals.

Preauthorization Requirements

All acute care inpatient services, except for emergency services and admissions for delivery, must be preauthorized.

Preauthorization for SecureChoice

SM

Members is an approval process used to determine member eligibility, benefit

coverage and medical necessity of proposed services at the time of the request. You may ask your provider if the service

requires preauthorization. Network providers are responsible for knowing which services require preauthorization and for

obtaining preauthorization from Keystone Health Plan Central or its designated representative before providing the

service.

Please note

: The emergency room (ER), anesthesia, radiology and pathology physicians working in some hospitals may

not be participating (network) providers. If you receive covered ER, anesthesia, radiology and/or pathology services in a

participating hospital, you may be balance billed by the treating physician(s).

Important Notes

This directory is accurate only as of the date the information was generated for this printing. To check the most current

participation status of any particular provider, visit our website at

capbluecross.com/healthypa

or call the toll-free number

on your ID card. You may also contact our Customer Service Department for SecureChoice

SM

Members at

1-888-210-5600 (TTY 711), Monday through Friday, 8:00

AM

to 6:00

PM

, or contact the provider directly to verify their participation

in SecureChoice

SM

.

If you have questions about your benefits or any other aspect of your health care coverage, please call the toll-free number

on your ID card or contact our Customer Service Department for SecureChoice

SM

Members at 1-888-210-5600 (TTY

711), Monday through Friday, 8:00

AM

to 6:00

PM

. After normal business hours, you may leave a voice mail message and

a Customer Service Representative will return your call during the next business day.

Always present your Member identification card each time you seek medical services.

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HO

SPI

TA

LS

Reading Hospital and Medical Center

CBC # 390044 NPI/Ref # 1669530069 6th Ave & Spruce St Reading, PA 19612 Phone: (610) 988-8000 Fax: (610) 988-5192

St Joseph Medical Center

CBC # 390096 NPI/Ref # 1699734665 2500 Bernville Rd Reading, PA 19605 Phone: (610) 378-2000 Fax: (610) 378-2270

Mount Nittany Medical Center CBC # 390268 NPI/Ref # 1730173154 1800 E Park Ave State College, PA 16803 Phone: (814) 231-7000 Fax: (814) 238-5185

Berwick Hospital Center

CBC # 390072 NPI/Ref # 1316919699 701 E 16th St Berwick, PA 18603 Phone: (570) 759-5000 Fax: (570) 759-3473

Carlisle Regional Medical Center CBC # 390058 NPI/Ref # 1730133844 361 Alexander Spring Rd Carlisle, PA 17015 Phone: (717) 249-1212 Fax: (717) 249-0770

Holy Spirit Hospital

CBC # 390004 NPI/Ref # 1881690212 503 N 21st St Camp Hill, PA 17011 Phone: (717) 763-2100 Fax: (717) 763-2513 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 1995 Technology Pkwy Mechanicsburg, PA 17050 Phone: (717) 782-3131

Milton S Hershey Medical Center (The) CBC # 390256 NPI/Ref # 1568435477 500 University Dr Hershey, PA 17033 Phone: (717) 531-8521 Fax: (717) 531-3823 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 111 S Front St Harrisburg, PA 17101 Phone: (717) 782-3131 Fax: (717) 230-3435 Community Campus 4300 Londonderry Rd Harrisburg, PA 17109 Phone: (717) 652-3000 Chambersburg Hospital CBC # 390151 NPI/Ref # 1902804552 112 N 7th St Chambersburg, PA 17201 Phone: (717) 267-3000 Fax: (717) 267-4873 Waynesboro Hospital CBC # 390138 NPI/Ref # 1821091059 501 E Main St Waynesboro, PA 17268 Phone: (717) 765-4000 Fax: (717) 765-3431

Fulton County Medical Center CBC # 390209 NPI/Ref # 1326044694 214 Peach Orchard Rd Mc Connellsburg, PA 17233 Phone: (717) 485-3155 Fax: (717) 485-6105

Heart of Lancaster Regional Medical Center CBC # 390068 NPI/Ref # 1770539637 1500 Highlands Dr Lititz, PA 17543 Phone: (717) 625-5000 Fax: (717) 625-5762

Lancaster General Hospital

CBC # 390100 NPI/Ref # 1104875103 555 N Duke St Lancaster, PA 17604 Phone: (717) 544-5511 Fax: (717) 544-5185

Lancaster Regional Medical Center CBC # 390061 NPI/Ref # 1467491027 250 College Ave Lancaster, PA 17603 Phone: (717) 291-8211 Fax: (717) 291-8575

Good Samaritan Hospital

CBC # 390066 NPI/Ref # 1407928500 4th & Walnut Sts Lebanon, PA 17042 Phone: (717) 270-7500 Fax: (717) 306-6840

Lehigh Valley Hospital

CBC # 390133 NPI/Ref # 1164400131 1200 S Cedar Crest Blvd Allentown, PA 18105 Phone: (610) 402-8000 Fax: (484) 884-3247 Center for Orthopedic Medicine 4815 Tilghman St

Allentown, PA 18104 Phone: (610) 402-8000

Sacred Heart Hospital

CBC # 390197 NPI/Ref # 1952399933 421 Chew St Allentown, PA 18102 Phone: (610) 776-4500 Fax: (610) 776-4559 St Lukes Hospital - Allentown Campus CBC # 390242 NPI/Ref # 1548293954 1736 Hamilton St Allentown, PA 18104 Phone: (610) 628-8300 Fax: (610) 628-8302 Easton Hospital CBC # 390162 NPI/Ref # 1740252964 250 S 21st St Easton, PA 18042 Phone: (610) 250-4000 Fax: (610) 250-4943

Lehigh Valley Hospital - Muhlenberg CBC # 390263 NPI/Ref # 1598743585 2545 Schoenersville Rd Bethlehem, PA 18017 Phone: (610) 402-8000 Fax: (484) 884-3247 St Lukes Hospital CBC # 390049 NPI/Ref # 1013933175 801 Ostrum St Bethlehem, PA 18015 Phone: (610) 954-4000 Fax: (610) 954-6474

St Lukes Hospital - Anderson

CBC # 50106241 NPI/Ref # 1497050470 1872 Riverside Cir Easton, PA 18045 Phone: (484) 503-3000 Sunbury Community Hospital CBC # 390084 NPI/Ref # 1467424820 350 N 11th St Sunbury, PA 17801 Phone: (570) 286-3333 Fax: (570) 286-3343

Schuylkill Medical Center - East Norwegian Street

CBC # 390031 NPI/Ref # 1427050376 700 E Norwegian St Pottsville, PA 17901 Phone: (570) 621-4000 Fax: (570) 621-4769

Schuylkill Medical Center - South Jackson Street

CBC # 390030 NPI/Ref # 1235138405 420 S Jackson St Pottsville, PA 17901 Phone: (570) 621-5000 Fax: (570) 621-5113

St Lukes Miners Memorial Hospital CBC # 390183 NPI/Ref # 1437182847 360 W Ruddle St Coaldale, PA 18218 Phone: (570) 645-2131 Fax: (570) 645-2121 Evangelical Community Hospital CBC # 390013 NPI/Ref # 1124076039 1 Hospital Dr Lewisburg, PA 17837 Phone: (570) 522-2000 Fax: (570) 522-2743 Hanover Hospital CBC # 390233 NPI/Ref # 1730158981 300 Highland Ave Hanover, PA 17331 Phone: (717) 316-3711 Fax: (717) 633-2217 Memorial Hospital CBC # 390101 NPI/Ref # 1043585524 325 S Belmont St York, PA 17405 Phone: (717) 843-8623 Fax: (717) 849-5329

St Joseph Medical Center

CBC # 390096 NPI/Ref # 1699734665 St Jos RHN at Broadcasting 2610 Keiser Blvd Wyomissing, PA 19610 Phone: (610) 898-0398 Fax: (610) 898-7616 St Jos RHN at Heritage of Green Hills 200 Tranquility Ln Reading, PA 19607 Phone: (484) 269-5108 Fax: (610) 898-0559 St Joseph Health Network at

Spring Ridge 2605 Keiser Blvd 2nd Fl Wyomissing, PA 19610 Phone: (610) 927-3168

Lancaster General Hospital

CBC # 390100 NPI/Ref # 1104875103 Lancaster General Health

Ctr-Parkesburg 950 S Octorara Trl Parkesburg, PA 19365 Phone: (610) 857-6616 Fax: (610) 857-6633

St Joseph Medical Center

CBC # 390096 NPI/Ref # 1699734665 St Joseph Health Network at

Elverson 45 S Pine St Elverson, PA 19520 Phone: (610) 913-1234 Fax: (610) 378-2303

Holy Spirit Hospital

CBC # 390004 NPI/Ref # 1881690212 Holy Spirit Cardiovascular

Imaging

101 Erford Rd Ste 101 Camp Hill, PA 17011 Phone: (717) 972-4900 Fax: (717) 972-4601 Holy Spirit Carlisle Imaging

Center

1211 Forge Rd Ste 400 Carlisle, PA 17013 Phone: (717) 218-3900 Fax: (717) 218-3901 Holy Spirit Magnetic Imaging

Center 4665 E Trindle Rd Mechanicsburg, PA 17050 Phone: (717) 972-4900 Fax: (717) 972-4601 HSH Laboratory at Century Dr 856 Century Dr Mechanicsburg, PA 17055 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 Fredrickson Outpatient Ctr 2015 Technology Pkwy Mechanicsburg, PA 17050 Phone: (717) 791-2400 PinnacleHealth Cardiovascular Institute 1000 N Front St Wormleysburg, PA 17043 Phone: (717) 731-0101 Fax: (717) 441-0592 PinnacleHealth Cardiovascular Institute 360 Alexander Spring Rd Carlisle, PA 17015 Phone: (717) 243-6557 Fax: (717) 441-0592 PinnacleHealth Cardiovascular Institute 900 Century Dr Ste 100 Mechanicsburg, PA 17055 Phone: (717) 731-0101 Fax: (717) 731-8359 PinnacleHealth Imaging at Camp Hill 240 Grandview Ave Camp Hill, PA 17011 Phone: (717) 214-3330 Fax: (717) 214-3350 PinnacleHealth Imaging at Heritage 3 Walnut St Lemoyne, PA 17043 Phone: (717) 737-3037 Fax: (717) 909-0912 PinnacleHealth Imaging at Silver Spring 21 Waterford Dr Mechanicsburg, PA 17050 Phone: (717) 591-3636 Fax: (717) 591-3631 PinnacleHealth Lab Srvcs at Silver Sprg 21 Waterford Dr Mechanicsburg, PA 17050 Phone: (717) 591-3636 Fax: (717) 591-3631 PinnacleHealth Ortenzio Cancer Ctr 2035 Technology Pkwy Mechanicsburg, PA 17050 Phone: (717) 988-1400 Fax: (717) 221-5550 PinnacleHealth Physical Therapy Fredrickson Outpatient 2015 Technology Pkwy Mechanicsburg, PA 17050 Phone: (717) 791-2485 Fax: (717) 791-2404 PinnacleHealth PT of Camp Hill 3 Walnut St Ste 110 Lemoyne, PA 17043 Phone: (717) 214-3688 Fax: (717) 214-3689 PinnacleHlth Lab Svcs Belvedere Med Ctr

850 Walnut Bottom Rd Ste 104 Carlisle, PA 17013

Phone: (717) 462-4450 Fax: (717) 462-4451

Holy Spirit Hospital

CBC # 390004 NPI/Ref # 1881690212 Holy Spirit Cardiovascular

Imaging 5 Capital Dr Ste 203 Harrisburg, PA 17110 Phone: (717) 972-4900 Fax: (717) 972-4601 Holy Spirit Imaging Ctr East 4230 Crums Mill Rd Harrisburg, PA 17110

Acute Care Hospital

Berks

Centre

Columbia

Cumberland

Dauphin

Franklin

Fulton

Lancaster

Lebanon

Lehigh

Northampton

Northumberland

Schuylkill

Union

York

Acute Care Hospital Outpatient Site

Berks

Chester

Cumberland

Dauphin

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Handicap Accessible December 2014

Page 4

HOSP

ITALS

HSH East Shore Laboratory 2808 Old Post Rd Harrisburg, PA 17110 Phone: (717) 920-4540 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 8105 Adams Dr Hummelstown, PA 17036 Phone: (717) 230-3700 Fax: (717) 703-1111 PinnacleHealth Bloom Diagnostic Ctr 4310 Londonderry Rd Harrisburg, PA 17109 Phone: (717) 657-7338 PinnacleHealth Cardiovascular Institute 2808 Old Post Rd Harrisburg, PA 17110 Phone: (717) 731-0101 Fax: (717) 731-8359 PinnacleHealth Imaging at Hershey 32 Northeast Dr Ste 101 Hershey, PA 17033 Phone: (717) 533-1736 Fax: (717) 534-1307 PinnacleHealth Imaging at Linglestown 2808 Old Post Rd Harrisburg, PA 17110 Phone: (717) 901-6800 Fax: (717) 901-6699 PinnacleHealth Imaging at Lower Paxton 2310 Patton Rd Harrisburg, PA 17112 Phone: (717) 724-6535 Fax: (717) 724-6540 PinnacleHealth Imaging at Middletown 1025 Harrisburg Pike Middletown, PA 17057 Phone: (717) 702-3478 Fax: (717) 702-1139 PinnacleHealth Imaging at Millersburg 1000 Evelyn Dr Millersburg, PA 17061 Phone: (717) 896-8091 Fax: (717) 692-1036 PinnacleHealth Imaging at Union Deposit 4518 Union Deposit Rd Harrisburg, PA 17111 Phone: (717) 652-5840 Fax: (717) 652-8152 PinnacleHealth Imaging at West Hanover 8012 Bretz Dr Harrisburg, PA 17112 Phone: (717) 231-8695 Fax: (717) 231-8656 PinnacleHealth Lab Svcs at Lower Paxton 2310 Patton Rd Ste B Harrisburg, PA 17112 Phone: (717) 724-6537 Fax: (717) 724-6540 PinnacleHealth Lab Svcs at Middletown 1025 Harrisburg Pike Middletown, PA 17057 Phone: (717) 702-1137 Fax: (717) 702-1139 PinnacleHealth Lab Svcs at Millersburg 1000 Evelyn Dr Millersburg, PA 17061 Phone: (717) 692-1031 Fax: (717) 692-1036 PinnacleHealth Lab Svcs at Old Post Road

2808 Old Post Rd Harrisburg, PA 17110 Phone: (717) 920-4570 Fax: (717) 920-4571 PinnacleHealth Lab Svcs at West Hanover 8012 Bretz Dr Harrisburg, PA 17112 Phone: (717) 231-8695 Fax: (717) 231-8656 PinnacleHealth Medical Sciences Pavilion 4300 Londonderry Rd Harrisburg, PA 17109 Phone: (717) 652-3000 PinnacleHealth PT at Middletown 1025 Harrisburg Pike Middletown, PA 17057 Phone: (717) 944-1491 Fax: (717) 944-1436 PinnacleHealth PT of Elizabethtown 125 E Main St Elizabethville, PA 17023 Phone: (717) 362-3685 Fax: (717) 362-4376 Polyclinic Campus 2501 N 3rd St Harrisburg, PA 17110 Phone: (717) 782-4141 Women's Cancer Ctr - PinnacleHealth Hosp 3901 N Front St Harrisburg, PA 17110 Phone: (717) 221-5940 Fax: (717) 233-1939 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 PinnacleHealth Cardiovascular Institute

757 Norland Ave Ste 205 Chambersburg, PA 17201 Phone: (717) 217-6881 Fax: (717) 441-0592

Lancaster General Hospital

CBC # 390100 NPI/Ref # 1104875103 306 N 7th St Columbia, PA 17512 Phone: (717) 684-1500 Fax: (717) 681-1564 Columbia Health Ctr 631 Poplar St Columbia, PA 17512 Phone: (717) 684-2841 Fax: (717) 684-3786 Crooked Oak Medical Svcs 1671 Crooked Oak Dr Lancaster, PA 17601 Phone: (717) 569-5109 Fax: (717) 560-9522 Kissel Hill Health Ctr 51 Peters Rd Lititz, PA 17543 Phone: (717) 627-2400 Fax: (717) 627-2720 Lancaster General Norlanco 424 Cloverleaf Rd Elizabethtown, PA 17022 Phone: (717) 544-6330 Fax: (717) 544-6305 Lancaster General Women's &

Babies Hosp 690 Good Dr Lancaster, PA 17604 Phone: (717) 544-3700 Fax: (717) 544-3302

Walter L Aument Family Hlth Ctr

317 S Chestnut St Quarryville, PA 17566 Phone: (717) 786-7383 Fax: (717) 786-8635 Willow Lakes Medical Svcs 222 Willow Vly Lakes Dr Willow Street, PA 17584 Phone: (717) 464-9173 Fax: (717) 464-0823

Good Samaritan Hospital

CBC # 390066 NPI/Ref # 1407928500 GSH Ambulatory Services Ctr 1400 S Forge Rd Palmyra, PA 17078 Phone: (717) 832-0960 Fax: (717) 832-0971 GSH Cardiovascular Diagnostic Ctr 781 Norman Dr Lebanon, PA 17042 Phone: (717) 270-1252 GSH Ctr Wound Care Hyperbaric Med 840 Tuck St Lebanon, PA 17042 Phone: (717) 675-2545 Fax: (717) 675-2550 GSH Lebanon OP Surgical Ctr 830 Tuck St Lebanon, PA 17042 Phone: (717) 228-1620 Fax: (717) 228-1642 GSH OP Diagnostic Ctr E Lebanon County 297 W Lincoln Ave Myerstown, PA 17067 Phone: (717) 866-9452 Fax: (717) 866-9454 GSH OP Physical Therapy 1400 S Forge Rd Palmyra, PA 17078 Phone: (717) 832-0962 Fax: (717) 838-1395 GSH OP Physical Therapy 950 Isabel Dr Quentin Cir Lebanon, PA 17042 Phone: (717) 270-8841 Fax: (717) 270-8981 GSH OP Radiology Ctr 805 Helen Dr Lebanon, PA 17042 Phone: (717) 273-9345 Fax: (717) 274-7518 GSH Satellite Services Jonestown Ctr 100 Queen St Jonestown, PA 17038 Phone: (717) 865-0739 Fax: (717) 865-0428

Holy Spirit Hospital

CBC # 390004 NPI/Ref # 1881690212 Duncannon Xray &

Mammography 510 New Bloomfield Rd Duncannon, PA 17020 Phone: (717) 834-3300 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 PinnacleHealth Imaging at Newport 32 W Shortcut Dr Newport, PA 17074 Phone: (717) 204-1010 Fax: (717) 204-1011 Memorial Hospital CBC # 390101 NPI/Ref # 1043585524 1750 5th Ave York, PA 17405 Phone: (717) 843-7613 Fax: (717) 849-5663 Greenbriar Medical Ctr 520 Greenbriar Rd York, PA 17404 Phone: (717) 764-9729 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 PinnacleHealth Imaging at Dillsburg 1 Trinity Dr E Dillsburg, PA 17019 Phone: (717) 432-5430 Fax: (717) 502-0306 PinnacleHealth Lab Svcs at Dillsburg 1 Trinity Dr Dillsburg, PA 17019 Phone: (717) 502-0405 Fax: (717) 502-0306 PinnacleHealth PT of Dillsburg 860 N US 15 Dillsburg, PA 17019 Phone: (717) 432-7719 Fax: (717) 432-7531

Select Specialty Hospital - Central PA-Harrisburg CBC # 390299 NPI/Ref # 1346248333 111 S Front St Alex Grass Bldg 5th Fl Harrisburg, PA 17101 Phone: (717) 724-6610 Fax: (717) 724-6611

Select Specialty Hospital - Danville Inc CBC # 390803 NPI/Ref # 1497754667 Bush Pavilion 3rd Fl MC 4210 100 N Academy Ave Danville, PA 17822 Phone: (570) 214-9653 Fax: (570) 214-9616 Good Shepherd Rehabilitation Hospital CBC # 390335 NPI/Ref # 1255374799 Good Shep O/P Rehab -

Blandon Maidencreek Towne Ctr 850 Golden Dr Ste 13/14 Blandon, PA 19510 Phone: (610) 944-6504 Fax: (610) 778-1141 Good Shep O/P Rehab -

Kutztown 333 Normal Ave Kutztown, PA 19530 Phone: (610) 683-5390 Fax: (610) 778-1144 Good Shep PT - Hamburg 500 Hawk Dr Ste 2A Hamburg, PA 19526 Phone: (610) 562-3523 Fax: (610) 778-1153 HEALTHSOUTH Reading Rehabilitation Hospital CBC # 390302 NPI/Ref # 1457324170 1623 Morgantown Rd Reading, PA 19607 Phone: (610) 796-6000 Fax: (610) 796-6306 Good Shepherd Rehabilitation Hospital CBC # 390335 NPI/Ref # 1255374799 Good Shep O/P Rehab -

Quakertown 134 Mill Rd Quakertown, PA 18951 Phone: (215) 536-2220 Fax: (610) 778-1149 Good Shepherd Rehabilitation Hospital CBC # 390335 NPI/Ref # 1255374799 Good Shep O/P Rehab -

Palmerton 3295 Forest Inn Rd Palmerton, PA 18071 Phone: (610) 824-7440 Fax: (610) 778-1148 HEALTHSOUTH Nittany Valley Rehabilitation Hospital CBC # 390339 NPI/Ref # 1902879620 550 W College Ave Pleasant Gap, PA 16823 Phone: (814) 359-3421 Fax: (814) 359-5897 Geisinger HEALTHSOUTH Rehabilitation Hospital CBC # 390347 NPI/Ref # 1811961758 410 Glen Ave Ste 101 Bloomsburg, PA 17815 Phone: (570) 287-2135 Fax: (570) 387-2288 Geisinger HEALTHSOUTH Rehab Ctr of Berwick 2202 W Front St Berwick, PA 18603 Phone: (570) 752-5009 Fax: (570) 752-5009 Geisinger HEALTHSOUTH Rehab Ctr of Bloomsburg 415 Central Rd Bloomsburg, PA 17815 Phone: (570) 389-0991 Fax: (570) 389-0232 HEALTHSOUTH Rehabilitation of Mechanicsburg CBC # 390310 NPI/Ref # 1104899814 175 Lancaster Blvd Mechanicsburg, PA 17055 Phone: (717) 691-3700 Fax: (717) 697-6524

Penn State Hershey Rehabilitation LLC

CBC # 390353 NPI/Ref # 1942416946 1135 Old W Chocolate Ave Hummelstown, PA 17036 Phone: (717) 832-2600 Fax: (717) 583-1180

Franklin

Lancaster

Lebanon

Perry

York

Long Term Acute Care Hospital

Dauphin

Montour

Rehabilitation Hospital

Berks

Bucks

Carbon

Centre

Columbia

Cumberland

Dauphin

Acute Care Hospital Outpatient Site

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HEALTHSOUTH Nittany Valley Rehabilitation Hospital CBC # 390339 NPI/Ref # 1902879620 HEALTHSOUTH O/P Rehab

Ctr 4 Industrial Park Rd Mifflintown, PA 17059 Phone: (717) 436-8233 Fax: (717) 436-5513 Lancaster Rehabilitation Hospital CBC # 390354 NPI/Ref # 1457403966 675 Good Dr Lancaster, PA 17601 Phone: (717) 406-3000 Fax: (717) 394-7501 Good Shepherd Rehabilitation Hospital CBC # 390335 NPI/Ref # 1255374799 850 S 5th St Allentown, PA 18103 Phone: (610) 778-9255 Fax: (610) 776-3172 Good Shep O/P Rehab - Cedar

Crest

1243 S Cedar Crest Blvd Allentown, PA 18103 Phone: (610) 402-9200 Fax: (610) 402-9269 Good Shep O/P Rehab -

Center Valley 4883 Rte 309

Center Valley, PA 18034 Phone: (610) 797-0999 Fax: (610) 778-1143 Good Shep O/P Rehab - Hlth &

Tech Ctr 850 S 5th St Allentown, PA 18103 Phone: (610) 778-1000 Fax: (610) 776-3225 Good Shep O/P Rehab -

Macungie 6465 Village Ln Ste 5 Macungie, PA 18062 Phone: (484) 519-3801 Fax: (610) 778-1146 Good Shep O/P Rehab - Ortho

& Hand Unit 850 S 5th St Allentown, PA 18103 Phone: (610) 776-3220 Fax: (610) 776-3551 Good Shep O/P Rehab -

Pediatrics Hlth 850 S 5th St Allentown, PA 18103 Phone: (610) 776-3578 Fax: (610) 776-3185 Good Shep O/P Rehab -

Schnecksville 4110 Independence Dr Rear Ste 200 Schnecksville, PA 18078 Phone: (610) 769-7299 Fax: (610) 778-1150 Good Shep O/P Therapy Sacred Heart Living by Saucon

Crk

4851 Saucon Creek Rd Center Valley, PA 18034 Phone: (610) 814-2700 Fax: (610) 814-2919

Good Shep O/P Therapy Whitehall Mnr Assisted Living 1177 6th St

Whitehall, PA 18052 Phone: (610) 403-1010 Fax: (610) 403-1011 Good Shep PT - Coopersburg 101 S Main St 3rd Fl Coopersburg, PA 18036 Phone: (610) 282-1385 Fax: (610) 778-1154 Good Shep Rehab - Laurys

Station

Riverside Prof Ctr Ste 103 5649 Wynnwood Dr Rte 145 Laurys Station, PA 18059 Phone: (610) 262-6773 Fax: (610) 778-1145 HEALTHSOUTH Nittany Valley Rehabilitation Hospital CBC # 390339 NPI/Ref # 1902879620 HEALTHSOUTH O/P Rehab

Ctr 99 Juniata St Lewistown, PA 17044 Phone: (717) 242-5400 Fax: (717) 242-5404 Good Shepherd Rehabilitation Hospital CBC # 390335 NPI/Ref # 1255374799 Good Shep O/P Rehab -

Stroudsburg 1619 N 9th St Ste 4 Stroudsburg, PA 18360 Phone: (570) 421-6110 Fax: (610) 778-1152 Good Shep Rehab - Pocono

Med Ctr 206 E Brown St East Stroudsburg, PA 18301 Phone: (570) 476-3410 Fax: (570) 420-2548 Good Shepherd Rehabilitation Hospital CBC # 390335 NPI/Ref # 1255374799 Good Shep PT - East

Greenville

622 Gravel Pike Ste 110 East Greenville, PA 18041 Phone: (215) 679-4105 Fax: (610) 778-1140 Good Shep PT - Souderton 4036 Bethlehem Pike Telford, PA 18969 Phone: (215) 721-1871 Fax: (610) 778-1872 HEALTHSOUTH Reading Rehabilitation Hospital CBC # 390302 NPI/Ref # 1457324170 HEALTHSOUTH Rehab Ctr - Pottstown 1566 Medical Dr Ste 104 Pottstown, PA 19464 Phone: (610) 327-2404 Fax: (610) 327-8213 Geisinger HEALTHSOUTH Rehabilitation Hospital CBC # 390347 NPI/Ref # 1811961758 2 Rehab Ln Danville, PA 17821 Phone: (570) 271-6110 Fax: (570) 271-5689 Geisinger HEALTHSOUTH Rehab Ctr of Danville 109 Woodbine Ln Danville, PA 17821 Phone: (570) 271-6704 Fax: (570) 271-6715 Good Shepherd Rehabilitation Hospital CBC # 390335 NPI/Ref # 1255374799 Good Shep O/P Rehab - Bath 5970 Nor Bath Blvd Bath, PA 18014 Phone: (610) 440-0362 Fax: (610) 778-1142 Good Shep O/P Rehab -

Northampton 44 W 21st St

Northampton, PA 18067 Phone: (610) 261-4292 Fax: (610) 778-1147 Good Shep O/P Rehab -

Slatebelt 422 Blue Valley Dr Bangor, PA 18013 Phone: (610) 863-6966 Fax: (610) 778-1151 Good Shep O/P Therapy Sacred Heart Sr Living by Crk 602 E 21st St

Northampton, PA 18067 Phone: (610) 851-0108 Fax: (610) 851-0185 Good Shep O/P Therapy Saucon Valley Mnr 1050 Main St Hellertown, PA 18055 Phone: (610) 748-8888 Fax: (610) 748-1035 Good Shep Rehab - Pediatric

Unit

2855 Schoenersville Rd Bethlehem, PA 18017 Phone: (610) 807-4200 Fax: (610) 807-4205 Good Shepherd Physical

Therapy N Bethlehem/CORE Physical Therapy 3201 Highfield Dr Ste F Bethlehem, PA 18020 Phone: (610) 882-9611 Fax: (610) 778-1156 Geisinger HEALTHSOUTH Rehabilitation Hospital CBC # 390347 NPI/Ref # 1811961758 Geisinger HEALTHSOUTH Rehab Ctr of Kulpmont 3 Vermont Dr Kulpmont, PA 17834 Phone: (570) 373-3856 Fax: (570) 373-5581 Geisinger HEALTHSOUTH Rehab Ctr of Milton 155 Arch St Milton, PA 17847 Phone: (570) 742-2655 Fax: (570) 742-9717 Geisinger HEALTHSOUTH Rehabilitation Hospital CBC # 390347 NPI/Ref # 1811961758 Geisinger HEALTHSOUTH Rehab Ctr of Selinsgrove 620 University Ave Selinsgrove, PA 17870 Phone: (570) 374-6764 Fax: (570) 374-6760 HEALTHSOUTH Rehabilitation Hospital of York CBC # 390337 NPI/Ref # 1811960537 1850 Normandie Dr York, PA 17408 Phone: (717) 767-6941 Fax: (717) 767-5572 HEALTHSOUTH Rehab Ctr - Industrial Hwy 2127 Industrial Hwy York, PA 17402 Phone: (717) 751-0975 Fax: (717) 840-1319 HEALTHSOUTH Rehab Ctr - Red Lion 679 Lombard Rd Red Lion, PA 17356 Phone: (717) 417-1271 Fax: (717) 417-1273 HEALTHSOUTH Reading Rehabilitation Hospital CBC # 39T302 NPI/Ref # 1457324170 Brain Injury Unit 1623 Morgantown Rd Reading, PA 19607 Phone: (610) 796-6000

Reading Hospital and Medical Center Rehabilitation Unit CBC # 39T044 NPI/Ref # 1093875270 2802 Papermill Rd Wyomissing, PA 19610 Phone: (484) 388-2701 Fax: (484) 388-2728 HEALTHSOUTH Nittany Valley Rehabilitation Hospital Brain Treatment Unit CBC # 39T339 NPI/Ref # 1902879620 550 W College Ave Pleasant Gap, PA 16823 Phone: (814) 359-3421 Fax: (814) 359-5898 Geisinger HEALTHSOUTH Rehabilitation Hospital CBC # 39T347 NPI/Ref # 1811961758 2202 W Front St Berwick, PA 18603 Phone: (570) 752-5009 Fax: (570) 752-3129

Carlisle Regional Medical Center Rehabilitation Unit

CBC # 39T058 NPI/Ref # 1396783247 417 Village Dr Ste 4 Carlisle, PA 17015 Phone: (717) 249-1212 Fax: (717) 249-0770 HEALTHSOUTH Rehabilitation of Mechicsburg Brain Treatment Unit CBC # 39T310 NPI/Ref # 1104899814 175 Lancaster Blvd Mechanicsburg, PA 17055 Phone: (717) 691-3700 Fax: (717) 697-6524 PinnacleHealth Hospitals Rehabilitation Unit CBC # 39T067 NPI/Ref # 1427165125 Helen M Simpson Rehab Hosp PinnacleHealth Comm Campus 4300 Londonderry Rd Harrisburg, PA 17109 Phone: (717) 920-4300 Chambersburg Hospital Rehabilitation Unit CBC # 39T151 NPI/Ref # 1902840341 112 N 7th St Chambersburg, PA 17201 Phone: (717) 267-3000 Fax: (717) 267-4873

Lancaster Regional Medical Center Rehabilitation Unit

CBC # 39T061 NPI/Ref # 1649214255 250 College Ave Lancaster, PA 17603 Phone: (717) 291-8333 Fax: (717) 735-2073

Good Samaritan Hospital Rehabilitation Unit CBC # 39T066 NPI/Ref # 1942383781 4th & Willow Sts Lebanon, PA 17042 Phone: (717) 270-7501 Fax: (717) 306-6840 Good Shepherd Rehabilitation Head/Spinal Rehab Unit CBC # 39T335 NPI/Ref # 1255374799 850 S 5th St Allentown, PA 18103 Phone: (610) 776-3120 Fax: (610) 776-3172 Easton Hospital Rehabilitation Unit CBC # 39T162 NPI/Ref # 1669444899 250 S 21st St Easton, PA 18042 Phone: (610) 250-4289 Fax: (610) 250-4980 St Lukes Hospital Rehabilitation Unit CBC # 39T049 NPI/Ref # 1073543120 801 Ostrum St Bethlehem, PA 18015 Phone: (610) 954-4000 Fax: (610) 954-3590

Schuylkill Medical Ctr-E Norwegian St-Rehab Unit

CBC # 39T031 NPI/Ref # 1205838919 700 E Norwegian St Pottsville, PA 17901 Phone: (570) 621-4000 Fax: (570) 621-4769

Juniata

Lancaster

Lehigh

Mifflin

Monroe

Montgomery

Montour

Northampton

Northumberland

Snyder

York

Rehabilitation Unit

Berks

Centre

Columbia

Cumberland

Dauphin

Franklin

Lancaster

Lebanon

Lehigh

Northampton

Schuylkill

Rehabilitation Unit

(6)

Handicap Accessible December 2014 Page 6

HOSP

ITALS

Evangelical Community Hospital Acute Rehab Unit

CBC # 39T013 NPI/Ref # 1326096744 1 Hospital Dr Lewisburg, PA 17837 Phone: (570) 522-2000 Fax: (570) 522-2743 HEALTHSOUTH Rehabilitation Hospital of York Brain Treatment Unit

CBC # 39T337 NPI/Ref # 1811960537 1850 Normandie Dr York, PA 17408 Phone: (717) 767-6941 Fax: (717) 767-5572

Union

York

Rehabilitation Unit

(7)

BEHA

VIORAL H

E

ALTH FACILITIES

Lancaster Regional Medical Center CBC # 004584000 NPI/Ref # 1467491027 250 College Ave Lancaster, PA 17603

Phone: (717) 291-8211 Fax: (717) 291-8065 Sunbury Community Hospital CBC # 817586000 NPI/Ref # 1467424820 350 N 11th St Sunbury, PA 17801

Phone: (570) 286-3333 York Hospital CBC # 019548000 NPI/Ref # 1326060492 1001 S George St York, PA 17403

Phone: (717) 851-2345 Fax: (717) 851-3374

Reading Hospital and Medical Center

CBC # 177271000 NPI/Ref # 1841359528 6th Ave & Spruce St Reading, PA 19612

Phone: (610) 988-8000 Fax: (610) 988-9070

Holy Spirit Hospital

CBC # 057291000 NPI/Ref # 1881690212 503 N 21st St Camp Hill, PA 17011

Phone: (717) 763-2219 Fax: (717) 763-2272 Pennsylvania Psychiatric Institute CBC # 600489757 NPI/Ref # 1386820017 2501 N 3rd St Harrisburg, PA 17110

Phone: (717) 782-6420 Fax: (717) 782-4727

Sacred Heart Hospital

CBC # 219678000 NPI/Ref # 1992794853 421 W Chew St Allentown, PA 18102

Phone: (610) 776-4713 Fax: (610) 776-4559 York Hospital CBC # 019548000 NPI/Ref # 1326060492 1001 S George St York, PA 17403

Phone: (717) 851-2345 Fax: (717) 851-3374

Reading Hospital and Medical Center

CBC # 177271000 NPI/Ref # 1841359528 6th Ave & Spruce St Reading, PA 19612

Phone: (610) 988-8000 Fax: (610) 988-9070

Holy Spirit Hospital

CBC # 057291000 NPI/Ref # 1881690212 503 N 21st St Camp Hill, PA 17011

Phone: (717) 763-2219 Fax: (717) 763-2272 Pennsylvania Psychiatric Institute CBC # 600489757 NPI/Ref # 1386820017 2501 N 3rd St Harrisburg, PA 17110

Phone: (717) 782-6420 Fax: (717) 782-4727

Sacred Heart Hospital

CBC # 219678000 NPI/Ref # 1992794853 421 W Chew St Allentown, PA 18102

Phone: (610) 776-4713 Fax: (610) 776-4559 York Hospital CBC # 019548000 NPI/Ref # 1326060492 1001 S George St York, PA 17403

Phone: (717) 851-2345 Fax: (717) 851-3374

Haven Behavioral Hospital of Eastern PA CBC # 263410000 NPI/Ref # 1629384292 145 N 6th St Reading, PA 19601

Phone: (610) 406-4372 Fax: (610) 898-8003

Reading Hospital and Medical Center

CBC # 177271000 NPI/Ref # 1841359528 6th Ave & Spruce St Reading, PA 19612

Phone: (610) 988-8000 Fax: (610) 988-9070 Pennsylvania Psychiatric Institute CBC # 600489757 NPI/Ref # 1386820017 2501 N 3rd St Harrisburg, PA 17110

Phone: (717) 782-6420 Fax: (717) 782-4727 Pennsylvania Psychiatric Institute CBC # 600639860 NPI/Ref # 1386820017 401 Division St Harrisburg, PA 17110

Phone: (717) 782-4349 Fax: (717) 782-6518 Pennsylvania Psychiatric Institute CBC # 837199000 NPI/Ref # 1386820017 22 Northeast Dr Hershey, PA 17033

Phone: (717) 531-8338 Fax: (717) 531-6250 Philhaven Hospital CBC # 017711000 NPI/Ref # 1972598076 354 N Reading Rd Ephrata, PA 17522

Phone: (717) 738-1125 Fax: (717) 738-0606 Philhaven Hospital CBC # 086068000 NPI/Ref # 1972598076 422 Cloverleaf Rd Elizabethtown, PA 17022

Phone: (717) 653-9359 Fax: (717) 653-6357 Philhaven Hospital CBC # 086072000 NPI/Ref # 1972598076 1884 Rohrerstown Rd Lancaster, PA 17601

Phone: (717) 569-1166 Philhaven Hospital CBC # 086069000 NPI/Ref # 1972598076 204 Hathaway Park Lebanon, PA 17042

Phone: (717) 274-9778 Fax: (717) 274-9815 Philhaven Hospital CBC # 086071000 NPI/Ref # 1972598076 283 Butler Rd Mount Gretna, PA 17064

Phone: (717) 273-8871 Fax: (717) 270-2452 Haven House CBC # 600892643 NPI/Ref # 1689670507 218 N 2nd St Allentown, PA 18102 Phone: (610) 841-8400 Fax: (610) 435-0898

Omni Health Services Inc

CBC # 600857032 NPI/Ref # 1619311537 546 Hamilton St Ste 100 Allentown, PA 18101

Phone: (484) 221-8296 Fax: (484) 221-8339

Northeastern Services Inc

CBC # 775694000 NPI/Ref # 1134418924 44 E Broad St Ste O-00 Bethlehem, PA 18018

Phone: (610) 868-0435 Fax: (610) 868-5552 Pennsylvania Counseling Services Inc CBC # 813704000 NPI/Ref # 1366534620 334 York St Gettysburg, PA 17325

Phone: (717) 337-0026 Fax: (717) 337-1260

Berks Counseling Center

CBC # 093397000 NPI/Ref # 1881620250 645 Penn St Reading, PA 19601 Phone: (610) 373-4281 Fax: (610) 373-3779 Pennsylvania Counseling Services Inc CBC # 245234000 NPI/Ref # 1366534620 938 Penn St Reading, PA 19602

Phone: (610) 478-8088 Fax: (610) 478-4884

Reading Hospital and Medical Center

CBC # 177271000 NPI/Ref # 1841359528 6th Ave & Spruce St Reading, PA 19612

Phone: (610) 988-8000 Fax: (610) 988-9070

Reading Hospital and Medical Center CBC # 258853000 NPI/Ref # 1841359528 321 N Furnace St Ste 100 Birdsboro, PA 19508

Phone: (610) 628-8070 Fax: (610) 988-5289

Reading Hospital and Medical Center CBC # 600785653 NPI/Ref # 1841359528 401 Buttonwood St Reading, PA 19611 Phone: (610) 628-8186 Fax: (484) 628-8187

Reading Hospital Center for Mental health

CBC # 158242000 NPI/Ref # 1841359528 Kutztown Boehm Science 15200 Kutztown Rd Kutztown, PA 19530

Phone: (610) 988-8070 New Insights CBC # 057184000 NPI/Ref # 1417025149 716 State St Lemoyne, PA 17043

Phone: (717) 303-2035 Fax: (717) 303-5929

Mazzitti and Sullivan

CBC # 158035000 NPI/Ref # 1669414991 1345 E Chocolate Ave Hershey, PA 17033

Phone: (717) 534-1650

Mazzitti and Sullivan

CBC # 249253000 NPI/Ref # 1669414991 3207 N Front St Harrisburg, PA 17110 Phone: (717) 901-5652 Pennsylvania Counseling Services Inc CBC # 290106000 NPI/Ref # 1366534620 4918 Locust Ln Harrisburg, PA 17109

Phone: (717) 671-9610 Fax: (717) 671-9680 Pennsylvania Counseling Services Inc CBC # 600661599 NPI/Ref # 1366534620 75 S Main St Chambersburg, PA 17201

Phone: (717) 261-1426 Fax: (717) 363-1647

Lancaster Freedom Center

CBC # 159126000 NPI/Ref # 1942224340 436 N Lime St Lancaster, PA 17602

Phone: (717) 397-9118 Fax: (717) 397-3514 Pennsylvania Counseling Services Inc CBC # 290097000 NPI/Ref # 1366534620 40 Pearl St Lancaster, PA 17603

Phone: (717) 397-8081 Fax: (717) 397-8414 Pennsylvania Counseling Services Inc CBC # 290094000 NPI/Ref # 1366534620 618 Cumberland St Lebanon, PA 17042

Phone: (717) 274-2741 Fax: (717) 274-5405

Habit Opco Allentown

CBC # 600532948 NPI/Ref # 1023175072 4400 S Cedarbrook Rd Allentown, PA 18103

Phone: (610) 481-0444 Fax: (610) 481-0298

Livengrin Foundation Inc

CBC # 186433000 NPI/Ref # 1194889782 Hanover Office Plz 961 Marcon Blvd Ste 304 Allentown, PA 18109

Phone: (610) 264-5521 Fax: (610) 264-5523 Malvern Institute CBC # 600847875 NPI/Ref # 1922141167 881 Marcon Blvd Allentown, PA 18109 Phone: (610) 647-0330 Fax: (610) 266-2627

Mid Atlantic Rehab Services Inc CBC # 600530806 NPI/Ref # 1396912440 826 Delaware Ave Bethlehem, PA 18015

Phone: (610) 419-3101 Fax: (610) 419-3309

Raft Treatment Center LLC

CBC # 600009940 NPI/Ref # 1730306598 860 Broad St Ste 101 Emmaus, PA 18049 Phone: (610) 965-8454 Fax: (610) 965-8453 23-Hour Psych Observation

Lancaster

Crisis Stabilization - Outpatient

Northumberland

York

Electro Convulsive Therapy - Inpatient

Berks

Cumberland

Dauphin

Lehigh

York

Electro Convulsive Therapy - Outpatient

Berks

Cumberland

Dauphin

Lehigh

York

Outpatient Bridge Appointment Program

Berks

Outpatient Psychiatric

Dauphin

Lancaster

Lebanon

Lehigh

Northampton

Outpatient Substance Abuse Disorders

Adams

Berks

Cumberland

Dauphin

Franklin

Lancaster

Lebanon

Lehigh

(8)

Handicap Accessible December 2014

Page 8

BEHAVIORAL HEALTH FACILITIES

Community Services Foundation CBC # 241568000 NPI/Ref # 1285783332 544 Main St Bethlehem, PA 18018

Phone: (610) 801-0210

Net Treatment Services Inc

CBC # 780605000 NPI/Ref # 1851699631 6 S 3rd St Ste 508 Easton, PA 18042

Phone: (610) 253-6760 Fax: (610) 253-6251

Northeastern Services Inc

CBC # 775694000 NPI/Ref # 1134418924 44 E Broad St Ste O-00 Bethlehem, PA 18018

Phone: (610) 868-0435 Fax: (610) 868-5552

Recovery Revolution Inc

CBC # 829870000 NPI/Ref # 1114070307 109 Broadway Bangor, PA 18013

Phone: (610) 599-7700 Fax: (610) 599-7714 New Insights CBC # 107501000 NPI/Ref # 1417025149 517 Carlisle Ave York, PA 17404

Phone: (717) 845-2079 Fax: (717) 854-2298 Pennsylvania Counseling Services Inc CBC # 290179000 NPI/Ref # 1366534620 128 N George St York, PA 17401

Phone: (717) 840-0984 Fax: (717) 755-8859

Rehab After Work

CBC # 600749642 NPI/Ref # 1255409827 45 Wyntre Brooke Dr LL York, PA 17403

Phone: (610) 644-6464 Fax: (610) 889-0732

Berks Counseling Center

CBC # 093397000 NPI/Ref # 1881620250 645 Penn St Reading, PA 19601 Phone: (610) 373-4281 Fax: (610) 373-3779

Haven Behavioral Hospital of Eastern PA CBC # 263410000 NPI/Ref # 1629384292 145 N 6th St Reading, PA 19601

Phone: (610) 406-4372 Fax: (610) 898-8003 Universal Community Behavioral Health CBC # 261654000 NPI/Ref # 1568472801 190 Match Factory Pl Bellefonte, PA 16823

Phone: (814) 353-1487 Universal Community Behavioral Health CBC # 261729000 NPI/Ref # 1518977610 110 Walton St Philipsburg, PA 16866

Phone: (814) 353-2579 Fax: (814) 342-8092

Holy Spirit Hospital

CBC # 057291000 NPI/Ref # 1881690212 503 N 21st St Camp Hill, PA 17011

Phone: (717) 763-2219 Fax: (717) 763-2272 Pennsylvania Psychiatric Institute CBC # 600639860 NPI/Ref # 1386820017 401 Division St Harrisburg, PA 17110

Phone: (717) 782-4349 Fax: (717) 782-6518 Philhaven Hospital CBC # 126131000 NPI/Ref # 1972598076 2601 Herr St Harrisburg, PA 17103 Phone: (800) 527-2322 Philhaven Hospital CBC # 730060000 NPI/Ref # 1174629463 Children & Adolescent O/P

Hospitalization 780 Eden Rd Lancaster, PA 17601

Phone: (717) 735-7770 Philhaven Hospital CBC # 086071000 NPI/Ref # 1972598076 283 Butler Rd Mount Gretna, PA 17064

Phone: (717) 273-8871 Fax: (717) 270-2452 Philhaven Hospital CBC # 813191000 NPI/Ref # 1174629463 Children & Adult Day Program 1245 W Princess St Ste A York, PA 17404

Phone: (717) 845-2482 Fax: (717) 845-2621

WellSpan Behavioral Health

CBC # 234180000 NPI/Ref # 1326060492 1101 Edgar St York, PA 17403

Phone: (717) 851-1500 Fax: (717) 851-1515

Haven Behavioral Hospital of Eastern PA CBC # 263410000 NPI/Ref # 1629384292 145 N 6th St Reading, PA 19601

Phone: (610) 406-4372 Fax: (610) 898-8003

Reading Hospital and Medical Center

CBC # 177271000 NPI/Ref # 1841359528 6th Ave & Spruce St Reading, PA 19612

Phone: (610) 988-8000 Fax: (610) 988-9070 Universal Community Behavioral Health CBC # 261654000 NPI/Ref # 1568472801 190 Match Factory Pl Bellefonte, PA 16823

Phone: (814) 353-1487 Universal Community Behavioral Health CBC # 261729000 NPI/Ref # 1518977610 110 Walton St Philipsburg, PA 16866

Phone: (814) 353-2579 Fax: (814) 342-8092

Holy Spirit Hospital

CBC # 057291000 NPI/Ref # 1881690212 503 N 21st St Camp Hill, PA 17011

Phone: (717) 763-2219 Fax: (717) 763-2272 New Insights CBC # 057184000 NPI/Ref # 1417025149 716 State St Lemoyne, PA 17043

Phone: (717) 303-2035 Fax: (717) 303-5929 Pennsylvania Psychiatric Institute CBC # 600639860 NPI/Ref # 1386820017 401 Division St Harrisburg, PA 17110

Phone: (717) 782-4349 Fax: (717) 782-6518 Pennsylvania Psychiatric Institute CBC # 837199000 NPI/Ref # 1386820017 22 Northeast Dr Hershey, PA 17033

Phone: (717) 531-8338 Fax: (717) 531-6250 Philhaven Hospital CBC # 126131000 NPI/Ref # 1972598076 2601 Herr St Harrisburg, PA 17103 Phone: (800) 527-2322

Lancaster Regional Medical Center CBC # 004584000 NPI/Ref # 1467491027 250 College Ave Lancaster, PA 17603

Phone: (717) 291-8211 Fax: (717) 291-8065 Philhaven Hospital CBC # 730060000 NPI/Ref # 1174629463 Children & Adolescent O/P

Hospitalization 780 Eden Rd Lancaster, PA 17601

Phone: (717) 735-7770 Philhaven Hospital CBC # 086071000 NPI/Ref # 1972598076 283 Butler Rd Mount Gretna, PA 17064

Phone: (717) 273-8871 Fax: (717) 270-2452 Sunbury Community Hospital CBC # 817586000 NPI/Ref # 1467424820 350 N 11th St Sunbury, PA 17801

Phone: (570) 286-3333 Philhaven Hospital CBC # 813191000 NPI/Ref # 1174629463 Children & Adult Day Program 1245 W Princess St Ste A York, PA 17404

Phone: (717) 845-2482 Fax: (717) 845-2621

TrueNorth Wellness Services

CBC # 600597366 NPI/Ref # 1598946428 33 Frederick St Hanover, PA 17331

Phone: (717) 632-4900 Fax: (717) 632-1942

Haven Behavioral Hospital of Eastern PA CBC # 263410000 NPI/Ref # 1629384292 145 N 6th St Reading, PA 19601

Phone: (610) 406-4372 Fax: (610) 898-8003

Reading Hospital and Medical Center

CBC # 177271000 NPI/Ref # 1841359528 6th Ave & Spruce St Reading, PA 19612

Phone: (610) 988-8000 Fax: (610) 988-9070

Holy Spirit Hospital

CBC # 057291000 NPI/Ref # 1881690212 503 N 21st St Camp Hill, PA 17011

Phone: (717) 763-2219 Fax: (717) 763-2272 Pennsylvania Psychiatric Institute CBC # 600489757 NPI/Ref # 1386820017 2501 N 3rd St Harrisburg, PA 17110

Phone: (717) 782-6420 Fax: (717) 782-4727

Lancaster General Hospital

CBC # 031673000 NPI/Ref # 1578511309 555 N Duke St Lancaster, PA 17602

Phone: (717) 544-5868 Fax: (717) 560-3787

Lancaster Regional Medical Center CBC # 004584000 NPI/Ref # 1467491027 250 College Ave Lancaster, PA 17603

Phone: (717) 291-8211 Fax: (717) 291-8065 Philhaven Hospital CBC # 086071000 NPI/Ref # 1972598076 283 Butler Rd Mount Gretna, PA 17064

Phone: (717) 273-8871 Fax: (717) 270-2452

Sacred Heart Hospital

CBC # 219678000 NPI/Ref # 1992794853 421 W Chew St Allentown, PA 18102

Phone: (610) 776-4713 Fax: (610) 776-4559 Sunbury Community Hospital CBC # 817586000 NPI/Ref # 1467424820 350 N 11th St Sunbury, PA 17801

Phone: (570) 286-3333 York Hospital CBC # 019548000 NPI/Ref # 1326060492 1001 S George St York, PA 17403

Phone: (717) 851-2345 Fax: (717) 851-3374 Pennsylvania Counseling Services Inc CBC # 813704000 NPI/Ref # 1366534620 334 York St Gettysburg, PA 17325

Phone: (717) 337-0026 Fax: (717) 337-1260

Berks Counseling Center

CBC # 093397000 NPI/Ref # 1881620250 645 Penn St Reading, PA 19601 Phone: (610) 373-4281 Fax: (610) 373-3779 Pennsylvania Counseling Services Inc CBC # 245234000 NPI/Ref # 1366534620 938 Penn St Reading, PA 19602

Phone: (610) 478-8088 Fax: (610) 478-4884 Pennsylvania Counseling Services Inc CBC # 600558641 NPI/Ref # 1366534620 125 S 5th St Reading, PA 19602

Phone: (610) 685-2188 Fax: (610) 320-5442

Northampton

York

Partial Psych Facility - Intensive Outpatient

Berks

Centre

Cumberland

Dauphin

Lancaster

Lebanon

York

Partial Psych Facility - Outpatient

Berks

Centre

Cumberland

Dauphin

Lancaster

Lebanon

Northumberland

York

Psychiatric Hospital

Berks

Cumberland

Dauphin

Lancaster

Lebanon

Lehigh

Northumberland

York

Substance Abuse Detox - Intensive Outpatient

Adams

Berks

(9)

BEHA

VIORAL H

E

ALTH FACILITIES

Holy Spirit Hospital

CBC # 057291000 NPI/Ref # 1881690212 503 N 21st St Camp Hill, PA 17011

Phone: (717) 763-2219 Fax: (717) 763-2272 New Insights CBC # 057184000 NPI/Ref # 1417025149 716 State St Lemoyne, PA 17043

Phone: (717) 303-2035 Fax: (717) 303-5929

Mazzitti and Sullivan

CBC # 249253000 NPI/Ref # 1669414991 3207 N Front St Harrisburg, PA 17110 Phone: (717) 901-5652 Fax: (717) 540-6874 Pennsylvania Counseling Services Inc CBC # 290106000 NPI/Ref # 1366534620 4918 Locust Ln Harrisburg, PA 17109

Phone: (717) 671-9610 Fax: (717) 671-9680 Pennsylvania Counseling Services Inc CBC # 600661599 NPI/Ref # 1366534620 75 S Main St Chambersburg, PA 17201

Phone: (717) 261-1426 Fax: (717) 363-1647

Lancaster Freedom Center

CBC # 159126000 NPI/Ref # 1942224340 436 N Lime St Lancaster, PA 17602

Phone: (717) 397-9118 Fax: (717) 397-3514 Pennsylvania Counseling Services Inc CBC # 290097000 NPI/Ref # 1366534620 40 Pearl St Lancaster, PA 17603

Phone: (717) 397-8081 Fax: (717) 397-8414 Pennsylvania Counseling Services Inc CBC # 290094000 NPI/Ref # 1366534620 618 Cumberland St Lebanon, PA 17042

Phone: (717) 274-2741 Fax: (717) 274-5405

Livengrin Foundation Inc

CBC # 186433000 NPI/Ref # 1194889782 Hanover Office Plz 961 Marcon Blvd Ste 304 Allentown, PA 18109

Phone: (610) 264-5521 Fax: (610) 264-5523 Malvern Institute CBC # 600847875 NPI/Ref # 1922141167 881 Marcon Blvd Allentown, PA 18109 Phone: (610) 647-0330 Fax: (610) 266-2627

Mid Atlantic Rehab Services Inc CBC # 600530806 NPI/Ref # 1396912440 826 Delaware Ave Bethlehem, PA 18015

Phone: (610) 419-3101 Fax: (610) 419-3309

Raft Treatment Center LLC

CBC # 600009940 NPI/Ref # 1730306598 860 Broad St Ste 101 Emmaus, PA 18049 Phone: (610) 965-8454 Fax: (610) 965-8453

Net Treatment Services Inc

CBC # 780605000 NPI/Ref # 1851699631 6 S 3rd St Ste 508 Easton, PA 18042

Phone: (610) 253-6760 Fax: (610) 253-6251 New Insights CBC # 107501000 NPI/Ref # 1417025149 517 Carlisle Ave York, PA 17404

Phone: (717) 845-2079 Fax: (717) 854-2298 Pennsylvania Counseling Services Inc CBC # 290179000 NPI/Ref # 1366534620 128 N George St York, PA 17401

Phone: (717) 840-0984 Fax: (717) 755-8859

Rehab After Work

CBC # 600749642 NPI/Ref # 1255409827 45 Wyntre Brooke Dr LL York, PA 17403

Phone: (610) 644-6464 Fax: (610) 889-0732

WellSpan Behavioral Health

CBC # 234180000 NPI/Ref # 1326060492 1101 Edgar St York, PA 17403

Phone: (717) 851-1500 Fax: (717) 851-1515

Berks Counseling Center

CBC # 093397000 NPI/Ref # 1881620250 645 Penn St Reading, PA 19601 Phone: (610) 373-4281 Fax: (610) 373-3779

WellSpan Behavioral Health

CBC # 234180000 NPI/Ref # 1326060492 1101 Edgar St York, PA 17403

Phone: (717) 851-1500 Fax: (717) 851-1515 New Insights CBC # 057184000 NPI/Ref # 1417025149 716 State St Lemoyne, PA 17043

Phone: (717) 303-2035 Fax: (717) 303-5929

Lancaster Freedom Center

CBC # 159126000 NPI/Ref # 1942224340 436 N Lime St Lancaster, PA 17602

Phone: (717) 397-9118 Fax: (717) 397-3514

Livengrin Foundation Inc

CBC # 186433000 NPI/Ref # 1194889782 Hanover Office Plz 961 Marcon Blvd Ste 304 Allentown, PA 18109

Phone: (610) 264-5521 Fax: (610) 264-5523 Community Services Foundation CBC # 241568000 NPI/Ref # 1285783332 544 Main St Bethlehem, PA 18018

Phone: (610) 801-0210 New Insights CBC # 107501000 NPI/Ref # 1417025149 517 Carlisle Ave York, PA 17404

Phone: (717) 845-2079 Fax: (717) 854-2298

Reading Hospital and Medical Center CBC # 600785653 NPI/Ref # 1841359528 401 Buttonwood St Reading, PA 19611 Phone: (610) 628-8186 Fax: (484) 628-8187

Holy Spirit Hospital

CBC # 057291000 NPI/Ref # 1881690212 503 N 21st St Camp Hill, PA 17011

Phone: (717) 763-2219 Fax: (717) 763-2272 Gaudenzia Outpatient Services CBC # 086312000 NPI/Ref # 1639293418 3740 Chambers Hill Rd Harrisburg, PA 17111

Phone: (717) 561-0400 Fax: (717) 561-0896 Colonial House CBC # 230888000 NPI/Ref # 1174686026 1300 Woodberry Rd York, PA 17408

Phone: (717) 792-9702 Fax: (717) 792-9910

Cumberland

Dauphin

Franklin

Lancaster

Lebanon

Lehigh

Northampton

York

Substance Abuse Detox - Outpatient

Berks

York

Substance Abuse Detox - Partial Hospitalization

Cumberland

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Substance Abuse Rehab - Inpatient

Berks

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December 2014

Page 11

S

KILLED

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URSING

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ACILITIES

The following section lists network skilled nursing facilities.

Preauthorization Requirements

Some services must be preauthorized. Preauthorization for SecureChoice

SM

Members is an approval process used to

determine member eligibility, benefit coverage and medical necessity of proposed services at the time of the request. You

may ask your provider if the service requires preauthorization. Network providers are responsible for knowing which

services require preauthorization and for obtaining preauthorization from Keystone Health Plan Central or its designated

representative before providing the service.

Important Notes

This directory is accurate only as of the date the information was generated for this printing. To check the most current

participation status of any particular provider, visit our website at

capbluecross.com/healthypa

or call the toll-free number

on your ID card. You may also contact our Customer Service Department for SecureChoice

SM

Members at

1-888-210-5600 (TTY 711), Monday through Friday, 8:00

AM

to 6:00

PM

, or contact the provider directly to verify their participation

in SecureChoice

SM

.

If you have questions about your benefits or any other aspect of your health care coverage, please call the toll-free number

on your ID card or contact our Customer Service Department for SecureChoice

SM

Members at 1-888-210-5600 (TTY

711), Monday through Friday, 8:00

AM

to 6:00

PM

. After normal business hours, you may leave a voice mail message and

a Customer Service Representative will return your call during the next business day.

Always present your Member identification card each time you seek medical services.

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SKIL

LED NURSING

FACILITIES

Cross Keys Village

CBC # 395108 NPI/Ref # 1225034440 2990 Carlisle Pike New Oxford, PA 17350

Phone: (717) 624-2161 Fax: (717) 624-5252

Gettysburg Lutheran Home

CBC # 395647 NPI/Ref # 1093829582 1075 Old Harrisburg Rd Gettysburg, PA 17325

Phone: (717) 334-6204 Fax: (717) 334-5081 Golden LivingCenter - Gettysburg CBC # 395247 NPI/Ref # 1619928074 741 Chambersburg Rd Gettysburg, PA 17325

Phone: (717) 334-6764 Fax: (717) 334-5652 Transitions Healthcare Gettysburg LLC CBC # 395798 NPI/Ref # 1578550562 595 Biglerville Rd Gettysburg, PA 17325

Phone: (717) 334-6249 Fax: (717) 334-7847

Village of Laurel Run (The)

CBC # 395721 NPI/Ref # 1487760765 6375 Chambersburg Rd Fayetteville, PA 17222

Phone: (717) 352-2721 Fax: (717) 352-2142 Berks - Heim CBC # 395094 NPI/Ref # 1053318501 1011 Berks Rd Leesport, PA 19533

Phone: (610) 376-4841 Fax: (610) 376-7371 Berkshire Center CBC # 395938 NPI/Ref # 1912189317 5501 Perkiomen Ave Reading, PA 19606

Phone: (610) 779-0600 Fax: (610) 370-9688 Golden LivingCenter - Reading CBC # 395627 NPI/Ref # 1750332169 21 Fairlane Rd Reading, PA 19606

Phone: (610) 779-8522 Fax: (610) 370-2139 Highlands at Wyomissing CBC # 395800 NPI/Ref # 1588636344 2000 Cambridge Ave Wyomissing, PA 19610

Phone: (610) 775-2300 Fax: (610) 775-9851

Kindred Transitional Care and Rehab - Wyomissing

CBC # 395237 NPI/Ref # 1326126012 1000 E Wyomissing Blvd Reading, PA 19611

Phone: (610) 376-3991 Fax: (610) 376-3579

Kutztown Manor Inc

CBC # 395680 NPI/Ref # 1881691145 120 Trexler Ave Kutztown, PA 19530

Phone: (610) 683-6220 Fax: (610) 683-6849 Laurel Center - PA CBC # 395408 NPI/Ref # 1356523666 125 Holly Rd Hamburg, PA 19526

Phone: (610) 562-2284 Fax: (610) 562-0775

Lutheran Home at Topton

CBC # 395117 NPI/Ref # 1447217153 1 S Home Ave Topton, PA 19562

Phone: (610) 682-2145 Fax: (610) 682-1055

ManorCare Health Services - Laureldale #562 CBC # 395477 NPI/Ref # 1710933429 2125 Elizabeth Ave Laureldale, PA 19605

Phone: (610) 921-9292 Fax: (610) 921-9561

ManorCare Health Services - Sinking Springs #576 CBC # 395541 NPI/Ref # 1689621484 3000 Windmill Rd Sinking Spring, PA 19608

Phone: (610) 670-2100 Fax: (610) 670-9749

ManorCare Health Services - W Reading North #568 CBC # 395351 NPI/Ref # 1720034002 425 Buttonwood St West Reading, PA 19611

Phone: (610) 373-5166 Fax: (610) 374-7560 Mifflin Center CBC # 395138 NPI/Ref # 1063694370 500 E Philadelphia Ave Shillington, PA 19607

Phone: (610) 777-7841 Fax: (610) 775-7198

Phoebe Berks Health Care Center Inc CBC # 395880 NPI/Ref # 1578561049 1 Heidelberg Dr Wernersville, PA 19565

Phone: (610) 927-8570 Fax: (610) 927-8400

Spruce Manor Nursing and Rehabilitation Center CBC # 395226 NPI/Ref # 1568533123 220 S 4th Ave West Reading, PA 19611

Phone: (610) 374-5175 Fax: (610) 374-7659

Transitional Care Center at Reading Hospital CBC # 395941 NPI/Ref # 1700946605 2802 Papermill Rd Wyomissing, PA 19610

Phone: (484) 388-2703 Fax: (484) 388-2728 Centre Crest CBC # 395779 NPI/Ref # 1548602964 502 E Howard St Bellefonte, PA 16823

Phone: (814) 355-6777 Fax: (814) 355-6999 Fairways at Brookline CBC # 395756 NPI/Ref # 1740280890 1950 Cliffside Dr State College, PA 16801

Phone: (814) 238-3139 Fax: (814) 235-2074

Hearthside A Nursing and Rehabilitation Center (The)

CBC # 395868 NPI/Ref # 1184958308 450 Waupelani Dr State College, PA 16801

Phone: (814) 237-0630 Fax: (814) 237-0638 Balanced Care at Bloomsburg CBC # 395953 NPI/Ref # 1861482283 3298 Ridge Rd Bloomsburg, PA 17815

Phone: (570) 784-6688 Fax: (570) 389-9081

Berwick Retirement Village Nursing Home CBC # 395421 NPI/Ref # 1417928185 801 E 16th St Berwick, PA 18603

Phone: (570) 759-5400

Millville Health Center

CBC # 395872 NPI/Ref # 1831456243 48 Haven Ln Millville, PA 17846 Phone: (570) 458-5566 Fax: (570) 458-4050

Orangeville Nursing and Rehabilitation Center CBC # 395899 NPI/Ref # 1184981987 200 Berwick Rd Orangeville, PA 17859

Phone: (570) 683-5036 Fax: (570) 683-5403 Bethany Village CBC # 395386 NPI/Ref # 1538133053 325 Wesley Dr Mechanicsburg, PA 17055

Phone: (717) 766-0279 Fax: (717) 591-8449

Chapel Pointe at Carlisle

CBC # 395923 NPI/Ref # 1265499636 770 S Hanover St Carlisle, PA 17013

Phone: (717) 249-1363 Fax: (717) 249-4551

Church of God Home Inc

CBC # 395784 NPI/Ref # 1659425957 801 N Hanover St Carlisle, PA 17013 Phone: (717) 249-5322

Claremont Nursing and Rehab Center of Cumberland County CBC # 395660 NPI/Ref # 1336143023 1000 Claremont Rd Carlisle, PA 17013

Phone: (717) 240-1948 Fax: (717) 240-1910 Cumberland Crossings CBC # 395876 NPI/Ref # 1275590986 1 Longsdorf Way Carlisle, PA 17015

Phone: (717) 245-9941 Fax: (717) 245-2988

Forest Park Health Center

CBC # 395270 NPI/Ref # 1629110754 700 Walnut Bottom Rd Carlisle, PA 17013

Phone: (717) 960-7700 Fax: (717) 243-8519 Fox Subacute at Mechanicsburg LLC CBC # 396122 NPI/Ref # 1114174703 120 S Filbert St Mechanicsburg, PA 17055

Phone: (717) 458-0930 Fax: (717) 458-0948

Golden LivingCenter - Camp Hill CBC # 395123 NPI/Ref # 1124079587 46 Erford Rd Camp Hill, PA 17011

Phone: (717) 763-7361 Fax: (717) 763-7842

Golden LivingCenter - West Shore CBC # 395223 NPI/Ref # 1669423992 770 Poplar Church Rd Camp Hill, PA 17011

Phone: (717) 763-7070 Fax: (717) 763-7850

ManorCare Health Services - Camp Hill #583 CBC # 395440 NPI/Ref # 1336194224 1700 Market St Camp Hill, PA 17011

Phone: (717) 737-8551 Fax: (717) 737-2189

ManorCare Health Services - Carlisle #372 CBC # 395746 NPI/Ref # 1093760837 940 Walnut Bottom Rd Carlisle, PA 17013

Phone: (717) 249-0085 Fax: (717) 249-0647 Messiah Village CBC # 395445 NPI/Ref # 1750432019 100 Mt Allen Dr Mechanicsburg, PA 17055

Phone: (717) 697-4666 Fax: (717) 790-8200

Sarah Todd Memorial Home

CBC # 395677 NPI/Ref # 1588655815 1000 W South St Carlisle, PA 17013

Phone: (717) 245-2187 Fax: (717) 245-9733

Shippensburg Health Care Center CBC # 395964 NPI/Ref # 1073572871 121 Walnut Bottom Rd Shippensburg, PA 17257

Phone: (717) 530-8300 Fax: (717) 530-8304

Swaim Health Center

CBC # 395375 NPI/Ref # 1548254790 210 Big Spring Rd Newville, PA 17241

Phone: (717) 776-8200 Fax: (717) 776-6266 Thornwald Home CBC # 395802 NPI/Ref # 1528059854 442 Walnut Bottom Rd Carlisle, PA 17013

Phone: (717) 249-4118 Fax: (717) 249-8906

Vibra Rehabilitation Center

CBC # 396133 NPI/Ref # 1831525179 707 Shepherdstown Rd Mechanicsburg, PA 17055

Phone: (717) 591-2100 Fax: (717) 591-2110

Colonial Park Care Center LLC CBC # 395395 NPI/Ref # 1225036478 800 King Russ Rd Harrisburg, PA 17109

Phone: (717) 657-1520 Fax: (717) 657-3278 Courtyard Gardens CBC # 395518 NPI/Ref # 1861492258 999 W Harrisburg Pike Middletown, PA 17057

Phone: (717) 944-3351 Fax: (717) 948-1510 Frey Village CBC # 395347 NPI/Ref # 1578520011 1020 N Union St Middletown, PA 17057

Phone: (717) 944-0451 Fax: (717) 930-1310

Golden LivingCenter - Blue Ridge Mountain CBC # 395142 NPI/Ref # 1538119573 3625 N Progress Ave Harrisburg, PA 17110

Phone: (717) 652-2345 Fax: (717) 652-8325 Homeland Center CBC # 395475 NPI/Ref # 1841286135 1901 N 5th St Harrisburg, PA 17102

Phone: (717) 221-7900 Fax: (717) 221-7916

Jewish Home of Greater Harrisburg CBC # 395372 NPI/Ref # 1952493272 4000 Linglestown Rd Harrisburg, PA 17112

Phone: (717) 657-0700 Fax: (717) 657-9409

Kepler Center for Nursing and Rehabilitation CBC # 396112 NPI/Ref # 1174968960 44 S Market St Elizabethville, PA 17023

Phone: (717) 362-8370 Fax: (717) 362-1015 Manor at Susquehanna Village (The) CBC # 395428 NPI/Ref # 1669496287 990 Medical Rd Millersburg, PA 17061

Phone: (717) 692-4751 Fax: (717) 692-0536

Penn State Hershey Rehabilitation - TCU

CBC # 396134 NPI/Ref # 1033530878 1135 Old Chocolate Ave Hummelstown, PA 17036

Phone: (717) 833-5303 Fax: (717) 833-5395

Spring Creek Rehabilitation and Health Care Center

CBC # 395074 NPI/Ref # 1326151804 1205 S 28th St Harrisburg, PA 17111

Phone: (717) 565-7000 Fax: (717) 558-8138 Adams Berks Centre Columbia Cumberland Dauphin

Adams

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Handicap Accessible December 2014 Page 14

SKILLED NUR

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FACILITIES

Falling Spring Nursing and Rehabilitation Center CBC # 395613 NPI/Ref # 1285062091 201 Franklin Farm Ln Chambersburg, PA 17202

Phone: (717) 264-2715 Fax: (717) 264-8689

ManorCare Health Services - Chambersburg #556 CBC # 395348 NPI/Ref # 1851346704 1070 Stauffer Ave Chambersburg, PA 17201

Phone: (717) 263-0436 Fax: (717) 263-7468

Menno Village at Menno Haven CBC # 395012 NPI/Ref # 1023015138 2075 Scotland Ave Chambersburg, PA 17201

Phone: (717) 263-8545 Fax: (717) 263-6988

Penn Hall at Menno Haven

CBC # 395944 NPI/Ref # 1639176712 1425 Philadelphia Ave Chambersburg, PA 17201

Phone: (717) 261-0220 Fax: (717) 261-1764 Quincy Village CBC # 395378 NPI/Ref # 1366434284 Colestock Center 6596 Orphanage Rd Waynesboro, PA 17268

Phone: (717) 749-2300 Fax: (717) 749-2395

Shook Home (The)

CBC # 395918 NPI/Ref # 1154320950 55 S 2nd St Chambersburg, PA 17201

Phone: (717) 264-6815 Fax: (717) 264-0380

Fulton County Medical Center CBC # 395387 NPI/Ref # 1700834314 214 Peach Orchard Rd Mc Connellsburg, PA 17233 Phone: (717) 485-3155 Fax: (717) 485-6105

Brookline at Mifflintown Inc

CBC # 395418 NPI/Ref # 1043268543 2 Manor Blvd Mifflintown, PA 17059

Phone: (717) 436-2178 Fax: (717) 436-6806

Locust Grove Retirement Village CBC # 395350 NPI/Ref # 1265448690 69 Cottage Rd Mifflin, PA 17058 Phone: (717) 436-8921 Fax: (717) 436-9165

Richfield Senior Living and Rehabilitation Center CBC # 396093 NPI/Ref # 1437486081 631 Main St Richfield, PA 17086

Phone: (717) 694-3434 Fax: (717) 694-3626

Audubon Villa Health and Rehabilitation Center CBC # 395590 NPI/Ref # 1366709289 125 S Broad St Lititz, PA 17543

Phone: (717) 626-0211 Fax: (717) 626-4441 Brethren Village CBC # 395328 NPI/Ref # 1013912500 3001 Lititz Pike Lancaster, PA 17606

Phone: (717) 569-2657 Fax: (717) 581-4402

Calvary Fellowship Home Inc

CBC # 395349 NPI/Ref # 1891806980 502 Elizabeth Dr Lancaster, PA 17601

Phone: (717) 393-0711 Fax: (717) 393-0998

Conestoga View Nursing Home CBC # 395774 NPI/Ref # 1528057411 900 E King St Lancaster, PA 17602

Phone: (717) 299-7850 Fax: (717) 295-5999

Denver Health and Rehabilitation Center CBC # 395575 NPI/Ref # 1952668881 400 Lancaster Ave Stevens, PA 17578

Phone: (717) 336-3878 Fax: (717) 336-3637 Ephrata Manor CBC # 395857 NPI/Ref # 1548251879 99 Bethany Rd Ephrata, PA 17522

Phone: (717) 738-4940 Fax: (717) 738-7478 Fairmount Homes CBC # 395805 NPI/Ref # 1568463818 333 Wheat Ridge Dr Ephrata, PA 17522

Phone: (717) 354-1800 Fax: (717) 354-6665

Glen at Willow Valley (The)

CBC # 395956 NPI/Ref # 1194758151 675 Willow Valley Sq Lancaster, PA 17602

Phone: (717) 464-6161 Fax: (717) 464-6034 Golden LivingCenter - Lancaster CBC # 395177 NPI/Ref # 1932150349 425 N Duke St Lancaster, PA 17602

Phone: (717) 397-4281 Fax: (717) 397-9187

Hamilton Arms Center

CBC # 395224 NPI/Ref # 1386826691 336 S West End Ave Lancaster, PA 17603

Phone: (717) 393-0419 Fax: (717) 291-9985

Harrison Senior Living of Christiana LLC CBC # 395403 NPI/Ref # 1932384963 41 Newport Ave Christiana, PA 17509

Phone: (610) 593-6901 Fax: (610) 593-0243

Homestead Village Inc

CBC # 395720 NPI/Ref # 1487652905 1800 Village Cir Lancaster, PA 17604 Phone: (717) 397-4831 Fax: (717) 397-5647

Lakeside at Willow Valley

CBC # 395771 NPI/Ref # 1740351584 300 Willow Vly Lakes Dr Willow Street, PA 17584

Phone: (717) 464-6161 Fax: (717) 464-6034

Lancashire Hall Nursing and Rehabilitation Center CBC # 395205 NPI/Ref # 1295735157 2829 Lititz Pike Lancaster, PA 17601

Phone: (717) 569-3211 Fax: (717) 569-1569 Landis Homes CBC # 395797 NPI/Ref # 1346243227 1001 E Oregon Rd Lititz, PA 17543

Phone: (717) 569-3271 Fax: (717) 569-5203

Luther Acres Manor

CBC # 395406 NPI/Ref # 1174510325 400 St Luke Dr Lititz, PA 17543

Phone: (717) 626-1171 Fax: (717) 626-1610

ManorCare Health Services - Elizabethtown #582 CBC # 395469 NPI/Ref # 1700831070 320 S Market St Elizabethtown, PA 17022

Phone: (717) 367-1377 Fax: (717) 367-1290

ManorCare Health Services - Lancaster #569 CBC # 395199 NPI/Ref # 1518913136 100 Abbeyville Rd Lancaster, PA 17603

Phone: (717) 397-4261 Fax: (717) 397-1420 Masonic Village at Elizabethtown CBC # 395560 NPI/Ref # 1720332653 1 Masonic Dr Elizabethtown, PA 17022

Phone: (717) 367-1121 Fax: (717) 367-5813

Mennonite Home Inc

CBC # 395559 NPI/Ref # 1770558512 1520 Harrisburg Pike Lancaster, PA 17601

Phone: (717) 393-1301 Fax: (717) 393-1389 Moravian Manor CBC # 395325 NPI/Ref # 1831184506 300 W Lemon St Lititz, PA 17543

Phone: (717) 626-0214 Fax: (717) 626-6498 Mt Hope Nazarene Retirement Community CBC # 396119 NPI/Ref # 1508895723 3026 Mt Hope Home Rd Manheim, PA 17545 Phone: (717) 665-6365 Fax: (717) 665-6366

Pleasant View Retirement Community CBC # 395786 NPI/Ref # 1205835642 544 N Penryn Rd Manheim, PA 17545

Phone: (717) 665-2445 Fax: (717) 665-6553

Rheems Nursing and Rehabilitation Center CBC # 395844 NPI/Ref # 1891810826 141 Heisey Ave Elizabethtown, PA 17022 Phone: (717) 367-1831 Fax: (717) 367-4439

Susquehanna Valley Nursing and Rehabilitation Center

CBC # 395400 NPI/Ref # 1689633943 745 Chiques Hill Rd Columbia, PA 17512

Phone: (717) 684-7555 Fax: (717) 684-3677 Cornwall Manor CBC # 395180 NPI/Ref # 1508857897 Boyd St Cornwall, PA 17016

Phone: (717) 273-2647 Fax: (717) 274-8052 Countryside Christian Community CBC # 395681 NPI/Ref # 1225040751 200 Bellann Ct Annville, PA 17003

Phone: (717) 867-4636 Fax: (717) 867-1332

Good Samaritan Hospital Transitional Care Unit

CBC # 395933 NPI/Ref # 1891874798 4th & Willow Sts Lebanon, PA 17042 Phone: (717) 270-7500 Fax: (717) 306-6840

Lebanon Valley Home (The)

CBC # 395832 NPI/Ref # 1497746713 550 E Main St Annville, PA 17003

Phone: (717) 867-4467 Fax: (717) 867-7060

ManorCare Health Services - Lebanon #561 CBC # 395472 NPI/Ref # 1851330195 900 Tuck St Lebanon, PA 17042

Phone: (717) 273-8595 Fax: (717) 272-8208

Palmyra Health and Rehabilitation Center CBC # 395506 NPI/Ref # 1275890618 341 N Railroad St Palmyra, PA 17078

Phone: (717) 838-3011 Fax: (717) 838-8335

Spang Crest Manor

CBC # 395365 NPI/Ref # 1326035577 945 Duke St Lebanon, PA 17042

Phone: (717) 274-1495 Fax: (717) 274-1592

StoneRidge Poplar Run

CBC # 395927 NPI/Ref # 1508882002 440 E Lincoln Ave Myerstown, PA 17067

Phone: (717) 866-3200 Fax: (717) 866-3252

StoneRidge Towne Centre

CBC # 395343 NPI/Ref # 1467478941 7 W Park Ave

Myerstown, PA 17067

Phone: (717) 866-6541

Twin Oaks Health and Rehabilitation Center CBC # 395846 NPI/Ref # 1003174038 2880 Horseshoe Pike Palmyra, PA 17078

Phone: (717) 838-2231 Fax: (717) 838-2064

Cedarbrook Lehigh County Home CBC # 395465 NPI/Ref # 1043215072 350 S Cedarbrook Rd Allentown, PA 18104

Phone: (610) 395-3727 Fax: (610) 395-0412 Fellowship Manor CBC # 395763 NPI/Ref # 1790767226 3000 Fellowship Dr Whitehall, PA 18052

Phone: (610) 799-3000 Fax: (610) 799-3099

Good Shepherd Home at C W Raker Center CBC # 395018 NPI/Ref # 1629015078 601 St John St Allentown, PA 18103 Phone: (610) 776-3111 Fax: (610) 776-3503

Holy Family Manor

CBC # 395250 NPI/Ref # 1255338976 1200 Spring St Bethlehem, PA 18018

Phone: (610) 865-5595 Fax: (610) 997-8454 Lehigh Center CBC # 395939 NPI/Ref # 1255513560 1718 Spring Creek Rd Macungie, PA 18062

Phone: (610) 366-0500 Fax: (610) 366-8042

Lehigh Valley Hospital Transitional Skilled Unit

CBC # 395951 NPI/Ref # 1235198326 17th & Chew Sts Allentown, PA 18105

Phone: (610) 402-3300 Fax: (610) 402-9736

Liberty Nursing and Rehabilitation Center #4068 CBC # 395264 NPI/Ref # 1225084239 535 N 17th St Allentown, PA 18104

Phone: (610) 432-4351 Fax: (610) 435-4470

Luther Crest Nursing Facility

CBC # 395591 NPI/Ref # 1447217112 800 Hausman Rd Allentown, PA 18104

Phone: (610) 682-2145 Fax: (610) 682-1055

ManorCare Health Services - Allentown #481 CBC # 395760 NPI/Ref # 1790739795 1265 S Cedar Crest Blvd Allentown, PA 18103

Phone: (610) 776-7522 Fax: (610) 776-0270 Franklin Fulton Juniata Lancaster Lebanon Lehigh

Franklin

References

Related documents

Please check with the health care professional before scheduling your appointment or receiving services or call Cigna Customer Service at the toll-free number on your Cigna ID card

Please check with the health care professional before scheduling your appointment or receiving services or call Cigna Customer Service at the toll-free number on your Cigna ID card

Please check with the health care professional before scheduling your appointment or receiving services or call Cigna Customer Service at the toll-free number on your Cigna ID card

Please check with the health care professional before scheduling your appointment or receiving services or call Cigna Customer Service at the toll-free number on your Cigna ID card

Please check with the health care professional before scheduling your appointment or receiving services or call Cigna Customer Service at the toll-free number on your Cigna ID card

Please check with the health care professional before scheduling your appointment or receiving services or call Cigna Customer Service at the toll-free number on your Cigna ID card

Please check with the health care professional before scheduling your appointment or receiving services or call Cigna Customer Service at the toll-free number on your Cigna ID card

· If you have any questions about your insurance please call the member services number listed on your insurance card prior to your visit to confirm your benefits coverage..