Healthcare Provider Details

I. General information

NPI: 1609532001
Provider Name (Legal Business Name): ST JOSEPH REGIONAL HEALTH NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 12/22/2021
Certification Date: 12/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 BERNVILLE RD
READING PA
19605-9453
US

IV. Provider business mailing address

2500 BERNVILLE RD
READING PA
19605-9453
US

V. Phone/Fax

Practice location:
  • Phone: 610-208-4648
  • Fax: 610-208-4640
Mailing address:
  • Phone: 610-208-4648
  • Fax: 610-208-4640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

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