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Organization
DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
Active
Organization
DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
Active
Parent organization
DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
Other names
Divine Providence Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
Authorized official
MR. ERIC D POHJALA FHFMA, FACHE (EXECUTIVE VICE PRESIDENT CFO, CPO)
(570) 321-3171
Entity
Organization
Contact information
Practice address
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1909
(570) 326-8000
(570) 326-8601
Mailing address
1205 GRAMPIAN BLVD, 2ND FLOOR, WILLIAMSPORT, PA 17701-1978
(570) 326-8676
(570) 326-8601
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
041001
PA
261QR0206X
Mammography Clinic/Center
041001
PA
282N00000X
General Acute Care Hospital
Primary
041001
PA
283Q00000X
Psychiatric Hospital
041001
PA
Other
Enumeration date
10/25/2006
Last updated
03/08/2017
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