# CARBON SCHUYLKILL COMMUNITY HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Luke's Miners Memorial Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083746994
- **Authorized official:** MS. ANDREA T ROSKO (EXECUTIVE DIRECTOR, SLPHO)
- **Authorized official phone:** (610) 954-4132

## Contact information

- **Practice address:** 360 W RUDDLE ST, COALDALE, PA 18218-1027
- **Practice address phone:** (570) 645-2131
- **Mailing address:** 360 W RUDDLE ST, COALDALE, PA 18218-1027
- **Mailing address phone:** (570) 645-2131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 036801 | PA | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 08/22/2020