Organization
CLINTON HOSPITAL CORPORATION
Active
Other names
Lock Haven Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TARA P RICHARDSON (AUTHORIZED OFFICIAL)
(615) 221-3672
Entity
Organization
Contact information
Practice address
25 CREE DR, LOCK HAVEN, PA 17745-2600
(570) 893-5000
Mailing address
PO BOX 503847, SAINT LOUIS, MO 63150-0001
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
122201
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007550910001
—
PA
05
—
1007550910012
—
PA
01
—
1007930
GATEWAY
—
01
—
390071
BCBS
—
01
—
815008
FIRST PRIORITY HEALTH
—
Enumeration date
01/30/2006
Last updated
04/27/2016
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