# DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
- **Other names:** Divine Providence Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861576993
- **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)
- **Authorized official phone:** (570) 321-3171

## Contact information

- **Practice address:** 1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1909
- **Practice address phone:** (570) 326-8000
- **Practice address fax:** (570) 326-8601
- **Mailing address:** 1205 GRAMPIAN BLVD, 2ND FLOOR, WILLIAMSPORT, PA 17701-1978
- **Mailing address phone:** (570) 326-8676
- **Mailing address fax:** (570) 326-8601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 041001 | PA | — |
| 261QR0206X | Mammography Clinic/Center | 041001 | PA | — |
| 282N00000X | General Acute Care Hospital | 041001 | PA | Yes |
| 283Q00000X | Psychiatric Hospital | 041001 | PA | — |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 03/08/2017