# THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.

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

## Provider details

- **NPI number:** 1497837470
- **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 |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 036801 | PA | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 10/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007454700003 | — | PA |