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NPI Code Detail

MEDICARE: DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY

MEDICARE: DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
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
1251E00000XHome Health Agency700605PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2817415OTHERPAFPH BILLING NUMBER

General Provider Information

NPI Number : 1871548560
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
Provider Business Mailing Address
First Line : 1100 GRAMPIAN BLVD
Second Line : 4 SOUTH
City : WILLIAMSPORT
State : PA
Zip : 17701-1909
Country : US
Telephone Number : 570-320-7690
Fax Number : 570-320-7692
Provider Business Practice Location Address
First Line : 1100 GRAMPIAN BLVD
Second Line : 4 SOUTH
City : WILLIAMSPORT
State : PA
Zip : 17701-1909
Country : US
Telephone Number : 570-320-7690
Fax Number : 570-320-7692
Authorized Official
Title or Position : ADMINISTRATIVE DIRECTOR
Name : MS. PATRICIA MCGEE
Credential : RN
Telephone Number : 570-320-7690
Provider Enumeration Date : 05/23/2006
Last Update Date : 01/02/2012

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Directions to “DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY ” Practice Location

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