Organization
MEMORIAL HOSPITAL INC OF TOWANDA PA
Active
Parent organization
MEMORIAL HOSPITAL HOSPICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL HOSPICE
Authorized official
MR. GARY BAKER (PRESIDENT/CEO)
(570) 265-2191
Entity
Organization
Contact information
Practice address
91 HOSPITAL DR, TOWANDA, PA 18848-9702
(570) 265-2191
(570) 265-4797
Mailing address
91 HOSPITAL DR, TOWANDA, PA 18848-9702
(570) 265-2191
(570) 265-4797
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
159899
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007713260018
—
PA
Enumeration date
05/18/2006
Last updated
08/14/2020
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