# SHAMOKIN AREA COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326023573
- **Authorized official:** MR. RANDY MORRIS (V.P., CFO)
- **Authorized official phone:** (570) 644-4229

## Contact information

- **Practice address:** 4200 HOSPITAL RD, COAL TOWNSHIP, PA 17866-9668
- **Practice address phone:** (570) 644-4200
- **Practice address fax:** (570) 644-4351
- **Mailing address:** 4200 HOSPITAL RD, COAL TOWNSHIP, PA 17866-9668
- **Mailing address phone:** (570) 644-4200
- **Mailing address fax:** (570) 644-4351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 196502 | PA | Yes |

## Other

- **Enumeration date:** 12/09/2005
- **Last updated:** 02/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1517 | HIGHMARK SKILLED | PA |
| 01 | — | 31066 | GEISINGER HEALTH PLAN | PA |