Organization
SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET
Active
Other names
Good Samaritan Regional Medical Center (Rehabilitation Only)
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E. SIMODEJKA (PRESIDENT AND CEO)
(570) 621-5111
Entity
Organization
Contact information
Practice address
700 E NORWEGIAN ST, POTTSVILLE, PA 17901-2710
(570) 621-4765
(570) 621-4769
Mailing address
700 E NORWEGIAN ST, POTTSVILLE, PA 17901-2710
(570) 621-4765
(570) 621-4769
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
590201
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1613
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/12/2005
Last updated
09/29/2008
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