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1528061314

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
1	282NR1301X	Rural Acute Care Hospital	196501	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	1516	OTHER	PA	HIGHMARK ACUTE
3	66283	OTHER	PA	MEDPLUS
4	74340	OTHER	PA	MEDPLUS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1012710001	OTHER	PA	HEALTH AMERICA
7	1501462	OTHER	PA	GATEWAY
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	25714	OTHER	PA	GEISINGER HEALTH PLAN
10	56136	OTHER	PA	MEDPLUS
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	030086400	OTHER	PA	FEDERAL BLACK LUNG PROGRA
13	56137	OTHER	PA	MEDPLUS

General Provider Information

NPI Number	:	1528061314
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	:	05/24/2005
Last Update Date	:	02/22/2011

Similar Medicare Providers

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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
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1285619890 — MRS. PENNY E YENCHICK CRNA
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17866-9668

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1326023573 — 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

1609851856 — SHAMOKIN AREA COMMUNITY HOSPITAL
Practice Location Address:

4200 HOSPITAL RD
COAL TOWNSHIP, PA
17866-9668

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1770554826 — DR. RICHARD A GRECO D.O.
Practice Location Address:

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17866-9668

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Directions to “SHAMOKIN AREA COMMUNITY HOSPITAL ” 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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