Healthcare Provider Details

I. General information

NPI: 1245230853
Provider Name (Legal Business Name): MERCY HOSPITAL WILKES BARRE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 CHURCH ST
WILKES BARRE PA
18765-0999
US

IV. Provider business mailing address

PO BOX 2041
SCRANTON PA
18501-2041
US

V. Phone/Fax

Practice location:
  • Phone: 570-348-7055
  • Fax: 570-348-7686
Mailing address:
  • Phone: 570-348-7055
  • Fax: 570-348-7686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
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: MR. STEVE H FRANKO III
Title or Position: CFO
Credential:
Phone: 570-348-7074