# CLINTON HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lock Haven Hosp - Anesthesia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932154572
- **Authorized official:** GARY NEWSOME (PRESIDENT)
- **Authorized official phone:** (570) 893-5030

## Contact information

- **Practice address:** 24 CREE DR, LOCK HAVEN, PA 17745-2639
- **Practice address phone:** (570) 893-5030
- **Practice address fax:** (570) 893-5401
- **Mailing address:** PO BOX 409823, ATLANTA, GA 30384-9823
- **Mailing address phone:** (800) 819-2547
- **Mailing address fax:** (423) 899-5295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | PA | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 07/21/2022