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NPI Code Detail

MEDICARE: GREENE COUNTY MEMORIAL HOSPITAL

MEDICARE: GREENE COUNTY MEMORIAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital852101PA

General Provider Information

NPI Number : 1295731610
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREENE COUNTY MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 350 BONAR AVE
Second Line :
City : WAYNESBURG
State : PA
Zip : 15370-1608
Country : US
Telephone Number : 724-627-2600
Fax Number : 724-627-9383
Provider Business Practice Location Address
First Line : 350 BONAR AVE
Second Line :
City : WAYNESBURG
State : PA
Zip : 15370-1608
Country : US
Telephone Number : 724-627-2600
Fax Number : 724-627-9383
Authorized Official
Title or Position : CFO
Name : MS. GINA BARRETT
Credential : MBA
Telephone Number : 724-627-2647
Provider Enumeration Date : 06/21/2005
Last Update Date : 08/22/2020

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1861424525 — SRMC HEALTHCARE GROUP LLC
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Directions to “GREENE COUNTY MEMORIAL HOSPITAL ” Practice Location

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