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Organization

SHAMOKIN AREA COMMUNITY HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDY MORRIS (V.P., CFO)
(570) 644-4229
Entity
Organization

Contact information

Practice address
4200 HOSPITAL RD, COAL TOWNSHIP, PA 17866-9668
(570) 644-4200
(570) 644-4351
Mailing address
4200 HOSPITAL RD, COAL TOWNSHIP, PA 17866-9668
(570) 644-4200
(570) 644-4351

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
196502
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1517
HIGHMARK SKILLED
PA
01
31066
GEISINGER HEALTH PLAN
PA
Enumeration date
12/09/2005
Last updated
02/22/2011
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