MEDICARE: ST. JOSEPH REGIONAL HEALTH NETWORK

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	208D00000X	General Practice Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	ST1739907	OTHER	HIGHMARK
2	99129	OTHER	AETNA
3	50050696	OTHER	CAPITAL BC

General Provider Information

NPI Number	:	1376590711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. JOSEPH REGIONAL HEALTH NETWORK

Provider Business Mailing Address
First Line	:	45 S PINE ST
Second Line	:
City	:	ELVERSON
State	:	PA
Zip	:	19520-9720
Country	:	US
Telephone Number	:	610-913-1234
Fax Number	:	717-531-0690

Provider Business Practice Location Address
First Line	:	45 S PINE ST
Second Line	:
City	:	ELVERSON
State	:	PA
Zip	:	19520-9720
Country	:	US
Telephone Number	:	610-913-1234
Fax Number	:	717-531-0690

Authorized Official
Title or Position	:	CFO
Name	:	EDWARD CHABALOWSKI
Credential	:
Telephone Number	:	610-378-2300

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	01/03/2022

Similar Medicare Providers

1437156387 — GORDON RICHARD ECK D.O.
Practice Location Address:

11 S PINE ST
ELVERSON, PA
19520-9720

Practice Phone: 610-286-9000
Practice Fax: 610-286-9410

1679679385 — DANIEL J. FICK M.P.T.
Practice Location Address:

21 S PINE ST , HERITAGE MEDICAL CENTER
ELVERSON, PA
19520-9720

Practice Phone: 610-286-0977
Practice Fax: 610-286-0986

1336221381 — MR. JOHN FRANCIS PERRY III M.D.
Practice Location Address:

25 S PINE ST
ELVERSON, PA
19520-9720

Practice Phone: 610-286-1660
Practice Fax: 610-286-1662

1326284845 — MARGARET JEANETTE GEBERT
Practice Location Address:

21 S PINE ST
ELVERSON, PA
19520-9720

Practice Phone: 610-286-0977
Practice Fax: 610-286-0986

1366673071 — KRISTA ELLIS SPEECH THERAPIST
Practice Location Address:

21 S PINE ST
ELVERSON, PA
19520-9720

Practice Phone: 610-286-0977
Practice Fax: 610-286-0986

1578993069 — MARIE HELEN VILBERT PT
Practice Location Address:

21 S PINE ST
ELVERSON, PA
19520-9720

Practice Phone: 610-286-0977
Practice Fax: 610-286-0986

Directions to “ST. JOSEPH REGIONAL HEALTH NETWORK ” Practice Location

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