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Organization
WVHCS-HOSPITAL
Active
Organization
WVHCS-HOSPITAL
Active
Parent organization
WVHCS-HOSPITAL
Other names
WVHCS-Hospital Transitional Care Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
WVHCS-HOSPITAL
Authorized official
MAGGIE R KOEHLER (SR VP/CFO)
(570) 552-3023
Entity
Organization
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 829-8111
(570) 552-3030
Mailing address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 829-8111
(570) 552-3030
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
234502
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0299
FREEDOM BLUE
PA
01
—
6491500
AETNA
PA
01
—
812545
FIRST PRIORITY HEALTH TCU
PA
01
—
IY0034
HEALTHNET
PA
Enumeration date
06/29/2006
Last updated
07/24/2009
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