Organization
CARBON SCHUYLKILL COMMUNITY HOSPITAL
Active
Other names
St. Luke's Miners Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA T ROSKO (EXECUTIVE DIRECTOR, SLPHO)
(610) 954-4132
Entity
Organization
Contact information
Practice address
360 W RUDDLE ST, COALDALE, PA 18218-1027
(570) 645-2131
Mailing address
360 W RUDDLE ST, COALDALE, PA 18218-1027
(570) 645-2131
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
036801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007454700014
—
PA
Enumeration date
03/09/2007
Last updated
08/22/2020
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