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1518761055 NPI number — LECOM AT SNYDER MEMORIAL

NPI Number: 1518761055
Health Care Provider/Practitioner: LECOM AT SNYDER MEMORIAL

Information about “1518761055” NPI (LECOM AT SNYDER MEMORIAL) exists in 1518761055 in HTML format HTML  |  1518761055 in plain Text format TXT  |  1518761055 in PDF (Portable Document Format) PDF  |  1518761055 in an XML format XML  formats.

NPI Number : 1518761055 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518761055",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MILLCREEK MANOR",
    "ParentOrgTIN": null,
    "OrgName": "LECOM AT SNYDER MEMORIAL",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5535 PEACH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ERIE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "16509-2603",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "814-790-1790",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "156 SNYDER MEMORIAL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARIENVILLE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "16239-1097",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "814-790-1790",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/03/2025",
    "LastUpdateDate": "04/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LIN",
    "AuthorizedOfficialFirstName": "JAMES",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DO",
    "AuthorizedOfficialTelephoneNumber": "814-602-7783",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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