# DEPARTMENT OF MILITARY COMMONWEALTH OF PENNSYLVANIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gino J. Merli Veterans Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497734925
- **Authorized official:** MR. THOMAS REED JR. (FISCAL SERVICES ADMINISTRATOR)
- **Authorized official phone:** (814) 242-7789

## Contact information

- **Practice address:** 401 PENN AVE, SCRANTON, PA 18503
- **Practice address phone:** (570) 961-4353
- **Practice address fax:** (570) 961-4400
- **Mailing address:** 401 PENN AVENUE, SCRANTON, PA 18503
- **Mailing address phone:** (570) 961-4353
- **Mailing address fax:** (570) 961-4405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | — | NULL | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | HP4183791 | PA | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2006
- **Last updated:** 05/24/2022