# WVHCS-HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WVHCS-HOSPITAL
- **Other names:** WVHCS-Hospital Transitional Care Unit
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679501662
- **Legal business name:** WVHCS-HOSPITAL
- **Authorized official:** MAGGIE R KOEHLER (SR VP/CFO)
- **Authorized official phone:** (570) 552-3023

## Contact information

- **Practice address:** 575 N RIVER ST, WILKES BARRE, PA 18764-0999
- **Practice address phone:** (570) 829-8111
- **Practice address fax:** (570) 552-3030
- **Mailing address:** 575 N RIVER ST, WILKES BARRE, PA 18764-0999
- **Mailing address phone:** (570) 829-8111
- **Mailing address fax:** (570) 552-3030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 234502 | PA | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 07/24/2009

## 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 |