Organization
SCHUYLKILL MEDICAL CENTER - EAST NORWEIGAN STREET
Active
Other names
Good Samaritan Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E. SIMODEJKA (PRESIDENT AND CEO)
(570) 621-5111
Entity
Organization
Contact information
Practice address
700 E NORWEGIAN ST, POTTSVILLE, PA 17901-2710
(570) 621-4143
(570) 621-4769
Mailing address
700 E NORWEGIAN ST, POTTSVILLE, PA 17901-2710
(570) 621-4143
(570) 621-4769
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
590201
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10048
GEISINGER HEALTH PLANS
PA
05
—
1007604490029
—
PA
05
—
1007604490030
—
PA
05
—
1007604490031
—
PA
01
—
1440
HIGHMARK BLUE SHIELD
PA
01
—
2356
AETNA INSURANCE PLANS
PA
01
—
60546
KEYSTONE MERCY
PA
01
—
66815
MEDPLUS THREE RIVERS HMO
PA
01
—
7390031
GATEWAY MEDICAID HMO
PA
Enumeration date
08/11/2005
Last updated
09/29/2008
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