# SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET SPU

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Pottsville Hospital and Warne Clinic SPU
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568503449
- **Authorized official:** THOMAS MARCHOZZI (SR VP & CFO)
- **Authorized official phone:** (484) 862-3943

## Contact information

- **Practice address:** 420 S JACKSON ST, POTTSVILLE, PA 17901-3625
- **Practice address phone:** (570) 621-5142
- **Practice address fax:** (570) 621-5113
- **Mailing address:** 420 S JACKSON ST, POTTSVILLE, PA 17901-3625
- **Mailing address phone:** (570) 621-5142
- **Mailing address fax:** (570) 621-5113

## Taxonomy

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

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 01/09/2025