MEDICARE: TROY COMMUNITY HOSPITAL INCORPORATED

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
1	282NC0060X	Critical Access Hospital	460101	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	170112	OTHER	PA	MEDICARE PART B

Other Identifiers

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

General Provider Information

NPI Number	:	1306847926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TROY COMMUNITY HOSPITAL INCORPORATED

Provider Business Mailing Address
First Line	:	275 GUTHRIE DRIVE
Second Line	:
City	:	TROY
State	:	PA
Zip	:	16947-8115
Country	:	US
Telephone Number	:	570-297-2121
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 GUTHRIE DRIVE
Second Line	:
City	:	TROY
State	:	PA
Zip	:	16947-8115
Country	:	US
Telephone Number	:	570-297-2121
Fax Number	:

Authorized Official
Title or Position	:	VP CFO FINANCE
Name	:	FRANCIS M MACAFEE
Credential	:
Telephone Number	:	607-798-6748

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	11/19/2024

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Directions to “TROY COMMUNITY HOSPITAL INCORPORATED ” Practice Location

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