# SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Samaritan Regional Medical Center (Rehabilitation Only)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205838919
- **Authorized official:** JOHN E. SIMODEJKA (PRESIDENT AND CEO)
- **Authorized official phone:** (570) 621-5111

## Contact information

- **Practice address:** 700 E NORWEGIAN ST, POTTSVILLE, PA 17901-2710
- **Practice address phone:** (570) 621-4765
- **Practice address fax:** (570) 621-4769
- **Mailing address:** 700 E NORWEGIAN ST, POTTSVILLE, PA 17901-2710
- **Mailing address phone:** (570) 621-4765
- **Mailing address fax:** (570) 621-4769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 590201 | PA | Yes |

## Other

- **Enumeration date:** 08/12/2005
- **Last updated:** 09/29/2008