Organization
SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET
Active
Parent organization
SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET
Other names
Good Samaritan Regional Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET
Authorized official
JOHN E. SIMODEJKA (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(717) 621-5111
Entity
Organization
Contact information
Practice address
700 E NORWEGIAN ST, PHYSICAN BILLING, POTTSVILLE, PA 17901-2710
(570) 621-8646
Mailing address
700 E NORWEGIAN ST, PHYSICAN BILLING, POTTSVILLE, PA 17901-2710
(570) 621-8646
(570) 621-4316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
PA
363AS0400X
Surgical Physician Assistant
Primary
—
PA
367500000X
Certified Registered Nurse Anesthetist
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1783963
HIGHMARK BS
PA
Enumeration date
07/02/2007
Last updated
10/16/2008
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