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NPI Code Detail

MEDICARE: JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE

MEDICARE: JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283X00000XRehabilitation Hospital013701PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2393036OTHERPALEGACY NUMBER

General Provider Information

NPI Number : 1215934088
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE
Provider Business Mailing Address
First Line : 100 ABINGTON EXECUTIVE PARK
Second Line :
City : CLARKS SUMMIT
State : PA
Zip : 18411-2258
Country : US
Telephone Number : 570-348-1364
Fax Number : 570-341-4646
Provider Business Practice Location Address
First Line : 150 MUNDY ST
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-6830
Country : US
Telephone Number : 570-826-3800
Fax Number : 570-826-9108
Authorized Official
Title or Position : PRESIDENT
Name : MR. WILLIAM CONABOY
Credential :
Telephone Number : 570-348-1458
Provider Enumeration Date : 07/07/2005
Last Update Date : 02/19/2016

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