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Organization
MT BETHEL MEDICAL CENTER LLC
Active
Organization
MT BETHEL MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON A RASO MD (CEO MOUNT BETHEL MEDICAL CENTER LLC)
(570) 897-7559
Entity
Organization
Contact information
Practice address
10 MOUNT BETHEL PLZ, MOUNT BETHEL, PA 18343-5212
(570) 897-7559
(570) 897-7567
Mailing address
PO BOX 43, 10 MOUNT BETHEL PLAZA, MOUNT BETHEL, PA 18343-0043
(570) 897-7559
(570) 897-7567
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD053686L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110130795
PALMETTO GBA - RAILROAD MEDICARE
—
01
—
1512446
HIGHMARK BLUE SHIELD
—
01
—
50017380
CAPITAL BLUE CROSS
—
01
—
5843921
CIGNA
—
Enumeration date
07/27/2006
Last updated
02/19/2009
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