Healthcare Provider Details

I. General information

NPI: 1366757973
Provider Name (Legal Business Name): ST. JOSEPH REGIONAL HEALTH NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2010
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 PLAZA DRIVE
BLANDON PA
19510-9476
US

IV. Provider business mailing address

PO BOX 7753
LANCASTER PA
17604-7753
US

V. Phone/Fax

Practice location:
  • Phone: 610-208-4650
  • Fax: 610-916-2787
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StatePA

VIII. Authorized Official

Name: EDWARD CHABALOWSKI
Title or Position: CFO/VP FINANCE
Credential:
Phone: 610-378-2300