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1467424820

NPI Code Detail

MEDICARE: SUNBURY HOSPITAL COMPANY LLC

MEDICARE: SUNBURY HOSPITAL COMPANY LLC

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	282N00000X	General Acute Care Hospital	450301	PA

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	7390084	OTHER		GATEWAY
3	039624900	OTHER		BLACK LUNG
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1534	OTHER		BCBS
6	390084	OTHER		HIGHMARK
7	22918	OTHER		GHP
8	240796877	OTHER		AETNA

General Provider Information

NPI Number	:	1467424820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNBURY HOSPITAL COMPANY LLC

Provider Business Mailing Address
First Line	:	PO BOX 504236
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63150-4236
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 N 11TH ST
Second Line	:
City	:	SUNBURY
State	:	PA
Zip	:	17801-1611
Country	:	US
Telephone Number	:	570-286-3333
Fax Number	:

Authorized Official
Title or Position	:	VP PATIENT FINANCIAL SERVICES
Name	:	TARA P RICHARDSON
Credential	:
Telephone Number	:	615-221-3672

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	05/02/2016

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Directions to “SUNBURY HOSPITAL COMPANY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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