Organization
JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE
Active
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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