MEDICARE: ALLIED SERVICES SKILLED NURSING CENTER

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	332BN1400X	Nursing Facility Supplies (DME)		PA
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)		PA
3	332BC3200X	Customized Equipment (DME)		PA
4	314000000X	Skilled Nursing Facility	011902	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	812502	OTHER	PA	AETNA
2	000000079091	OTHER	PA	3 RIVERS
3	A08008623	OTHER	PA	CEDI/SUBMITTER ID
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	30968	OTHER	PA	GEISINGER

General Provider Information

NPI Number	:	1851398341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED SERVICES SKILLED NURSING CENTER

Provider Business Mailing Address
First Line	:	100 ABINGTON EXECUTIVE PARK
Second Line	:
City	:	CLARKS SUMMIT
State	:	PA
Zip	:	18411-2258
Country	:	US
Telephone Number	:	570-348-1364
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 SMALLACOMBE DR
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18508-2634
Country	:	US
Telephone Number	:	570-348-1424
Fax Number	:

Authorized Official
Title or Position	:	AVP PATIENT FINICAL SERVICES
Name	:	MR. VINCENT SPLENDIDO
Credential	:
Telephone Number	:	570-341-4699

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	07/21/2022

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Directions to “ALLIED SERVICES SKILLED NURSING CENTER ” Practice Location

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