Organization
COMMUNITY HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROHRBACH (CFO)
(570) 268-2207
Entity
Organization
Contact information
Practice address
91 HOSPITAL DR, TOWANDA, PA 18848-9702
(570) 268-4713
Mailing address
91 HOSPITAL DR, TOWANDA, PA 18848-9702
(570) 268-4713
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013188
PA
363LF0000X
Family Nurse Practitioner
SP013188
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP013188
CRNP LICENSE #
PA
Enumeration date
10/09/2013
Last updated
10/09/2013
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