Organization
BERWICK HOSPITAL COMPANY LLC
Active
Other names
Berwick Hospital Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
701 E 16TH ST, BERWICK, PA 18603-2316
(570) 759-5000
(570) 759-3473
Mailing address
PO BOX 503171, SAINT LOUIS, MO 63150-3171
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
024901
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007562590019
—
PA
01
—
390072
BCBS
—
Enumeration date
01/30/2006
Last updated
08/25/2017
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