# CLINTON HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLINTON HOSPITAL CORPORATION
- **Other names:** Lock Haven Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013988716
- **Legal business name:** CLINTON HOSPITAL CORPORATION
- **Authorized official:** TARA P RICHARDSON (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 221-3672

## Contact information

- **Practice address:** 24 CREE DR, LOCK HAVEN, PA 17745-2639
- **Practice address phone:** (570) 893-5000
- **Mailing address:** 24 CREE DR, LOCK HAVEN, PA 17745-2639
- **Mailing address phone:** (570) 893-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 122202 | PA | Yes |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 04/27/2016