Organization
COMMUNITY MEDICAL CENTER
Active
Parent organization
COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM
Other names
PHYSICIAN PROVIDERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM
Authorized official
CINDY L MULL (SYSTEM DIRECTOR ENROLLMENTS)
(570) 271-6603
Entity
Organization
Contact information
Practice address
1822 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 558-3500
(570) 558-3513
Mailing address
1822 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 558-3500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007456760027
—
PA
Enumeration date
04/04/2008
Last updated
03/10/2023
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