CCN: 393053 NPI: 1942416946 Organization

PENN STATE HEALTH REHABILITATION HOSPITAL

1135 OLD WEST CHOCOLATE AVE
HUMMELSTOWN, PA 17036

Contact Information

Phone 7179721100
Fax 7179759981
Enumeration Date 2007-05-15
Last Updated 2025-09-10

Taxonomies

Code: 261QP2000X
Code: 283X00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.179

medicaidRatio 0.1364

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.179

medicaidRatio 0.1364

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.179

medicaidRatio 0.1364

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.179

medicaidRatio 0.1718

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.211

medicaidRatio 0.1718

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.211

medicaidRatio 0.1718

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.211

medicaidRatio 0.1718

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.211

medicaidRatio 0.1718

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.211

medicaidRatio 0.2102

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.211

medicaidRatio 0.2102

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.258

medicaidRatio 0.2102

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.258

medicaidRatio 0.2102

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.258

medicaidRatio 0.2102

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.258

medicaidRatio 0.2102

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.286

medicaidRatio 0.2102

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.286

medicaidRatio 0.1629

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.286

medicaidRatio 0.1629

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.286

medicaidRatio 0.1629

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.286

medicaidRatio 0.1629

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.286

medicaidRatio 0.1629

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.315

medicaidRatio 0.1629

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.315

medicaidRatio 0.1847

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.315

medicaidRatio 0.1847

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.315

medicaidRatio 0.1847

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.315

medicaidRatio 0.183

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.315

medicaidRatio 0.183

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.315

medicaidRatio 0.151

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.315

medicaidRatio 0.151

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.389

medicaidRatio 0.151

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.389

medicaidRatio 0.151

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.389

medicaidRatio 0.151

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.389

medicaidRatio 0.1993

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.408

medicaidRatio 0.1993

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.427

medicaidRatio 0.1993

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.427

medicaidRatio 0.1993

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.427

medicaidRatio 0.1985

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.427

medicaidRatio 0.1985

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.427

medicaidRatio 0.1985

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.427

medicaidRatio 0.1893

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.442

medicaidRatio 0.1893

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.442

medicaidRatio 0.1893

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.442

medicaidRatio 0.1893

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.442

medicaidRatio 0.191

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.442

medicaidRatio 0.191

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.442

medicaidRatio 0.2038

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.462

medicaidRatio 0.2038

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.462

medicaidRatio 0.2038

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.462

medicaidRatio 0.2038

censusDivision 2

cbsaActualGeographicLocation 25420

providerType 04

caseMixIndex 1.0

operatingCostToChargeRatio 0.462

medicaidRatio 0.2038

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.058

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.058

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.172

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.172

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.172

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.161

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.161

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.16

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.16

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.16

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.162

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.162

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.162

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 1.292

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 1.292

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.42

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.42

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.42

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.363

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.363

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.363

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.363

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 25420

providerType 04

operatingCostToChargeRatio 0.378

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 12502

localityCode 99

PENN STATE HEALTH REHABILITATION HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

Supercharge Your Revenue Cycle Analytics