Healthcare Provider Details

I. General information

NPI: 1295972347
Provider Name (Legal Business Name): NASON HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2009
Last Update Date: 01/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 NASON DR
ROARING SPRING PA
16673-1202
US

IV. Provider business mailing address

105 NASON DR
ROARING SPRING PA
16673-1202
US

V. Phone/Fax

Practice location:
  • Phone: 814-224-2141
  • Fax: 814-224-6247
Mailing address:
  • Phone: 814-224-2141
  • Fax: 814-224-6247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number141101
License Number StatePA

VIII. Authorized Official

Name: MR. RAYMOND C ASKEY
Title or Position: CFO
Credential:
Phone: 814-224-2141