Organization
JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CONABOY (PRESIDENT)
(570) 348-1458
Entity
Organization
Contact information
Practice address
150 MUNDY ST, WILKES BARRE, PA 18702-6830
(570) 826-3800
(570) 826-9108
Mailing address
100 ABINGTON EXECUTIVE PARK, CLARKS SUMMIT, PA 18411-2258
(570) 348-1364
(570) 341-4646
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
013701
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007644100005
—
PA
01
—
393036
LEGACY NUMBER
PA
Enumeration date
07/07/2005
Last updated
02/19/2016
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