Organization
SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET
Active
Other names
Lehigh Valley Hospital - Schuylkill S. Jackson Street
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE N BORIS (VICE PRESIDENT OF FINANCE)
(570) 621-5093
Entity
Organization
Contact information
Practice address
700 E NORWEGIAN ST, POTTSVILLE, PA 17901-2710
(570) 621-5093
Mailing address
700 E NORWEGIAN ST, POTTSVILLE, PA 17901-2710
(570) 621-5093
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
421001
PA
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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