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NPI Code Detail

MEDICARE: MOSES TAYLOR HOSPITAL

MEDICARE: MOSES TAYLOR 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 Hospital133801PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1300742OTHERUS DEPARTMENT OF LABOR
256117OTHERTHREE RIVERS
3P019044OTHERCHAMPUS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
768671OTHERTHREE RIVERS
876975OTHERTHREE RIVERS

General Provider Information

NPI Number : 1518948157
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOSES TAYLOR HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 1270
Second Line :
City : SCRANTON
State : PA
Zip : 18501-1270
Country : US
Telephone Number : 570-340-2983
Fax Number : 570-340-2243
Provider Business Practice Location Address
First Line : 700 QUINCY AVE
Second Line :
City : SCRANTON
State : PA
Zip : 18510-1724
Country : US
Telephone Number : 570-340-2983
Fax Number : 570-340-2243
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MRS. CATHERINE J TOOMEY
Credential :
Telephone Number : 570-340-2983
Provider Enumeration Date : 11/10/2005
Last Update Date : 08/22/2020

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Directions to “MOSES TAYLOR HOSPITAL ” Practice Location

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