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NPI Code Detail

MEDICARE: SHAMOKIN AREA COMMUNITY HOSPITAL

MEDICARE: SHAMOKIN AREA COMMUNITY HOSPITAL
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
1314000000XSkilled Nursing Facility196502PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11517OTHERPAHIGHMARK SKILLED
231066OTHERPAGEISINGER HEALTH PLAN

General Provider Information

NPI Number : 1326023573
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHAMOKIN AREA COMMUNITY HOSPITAL
Provider Business Mailing Address
First Line : 4200 HOSPITAL RD
Second Line :
City : COAL TOWNSHIP
State : PA
Zip : 17866-9668
Country : US
Telephone Number : 570-644-4200
Fax Number : 570-644-4351
Provider Business Practice Location Address
First Line : 4200 HOSPITAL RD
Second Line :
City : COAL TOWNSHIP
State : PA
Zip : 17866-9668
Country : US
Telephone Number : 570-644-4200
Fax Number : 570-644-4351
Authorized Official
Title or Position : V.P., CFO
Name : MR. RANDY MORRIS
Credential :
Telephone Number : 570-644-4229
Provider Enumeration Date : 12/09/2005
Last Update Date : 02/22/2011

Similar Medicare Providers

1033491741 — GEISINGER MEDICAL CENTER
Practice Location Address:
4200 HOSPITAL RD
COAL TOWNSHIP, PA
17866-9668
Practice Phone: 570-644-4200
Practice Fax:
1528061314 — SHAMOKIN AREA COMMUNITY HOSPITAL
Practice Location Address:
4200 HOSPITAL RD
COAL TOWNSHIP, PA
17866-9668
Practice Phone: 570-644-4200
Practice Fax: 570-644-4351
1679557458 — MRS. JOANN M SASSANI CRNA
Practice Location Address:
4200 HOSPITAL RD
COAL TOWNSHIP, PA
17866-9668
Practice Phone: 570-644-4259
Practice Fax: 570-644-1194
1043294838 — MRS. LISA A. RAWA CRNA
Practice Location Address:
4200 HOSPITAL RD
COAL TOWNSHIP, PA
17866-9668
Practice Phone: 570-644-4259
Practice Fax: 570-644-1194
1285619890 — MRS. PENNY E YENCHICK CRNA
Practice Location Address:
4200 HOSPITAL RD
COAL TOWNSHIP, PA
17866-9668
Practice Phone: 570-644-4259
Practice Fax: 570-644-1194
1609851856 — SHAMOKIN AREA COMMUNITY HOSPITAL
Practice Location Address:
4200 HOSPITAL RD
COAL TOWNSHIP, PA
17866-9668
Practice Phone: 570-644-4200
Practice Fax: 570-644-4351

Directions to “SHAMOKIN AREA COMMUNITY HOSPITAL ” Practice Location

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