Healthcare Provider Details

I. General information

NPI: 1396014676
Provider Name (Legal Business Name): SCRANTON HOSPITAL COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2011
Last Update Date: 12/04/2023
Certification Date: 12/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 QUINCY AVE
SCRANTON PA
18510-1724
US

IV. Provider business mailing address

700 QUINCY AVE
SCRANTON PA
18510-1724
US

V. Phone/Fax

Practice location:
  • Phone: 570-340-2983
  • Fax:
Mailing address:
  • Phone: 570-340-2983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
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: PAULA LALOR
Title or Position: SR. DIRECTOR /DELEGATED OFFICIAL
Credential:
Phone: 629-215-3953