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. CHARLES J SANTANGELO CPA FHFMA (EXECUTIVE VP CFO)
(570) 321-3171
Entity
Organization
Contact information
Practice address
471 HEPBURN ST, WILLIAMSPORT, PA 17701-6122
(570) 567-5400
(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
261QC1500X
Community Health Clinic/Center
Primary
041001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007563750029
—
PA
Enumeration date
01/03/2008
Last updated
01/15/2008
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