Organization
GNADEN HUETTEN MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA L. ANDRAE (CFO)
(610) 377-7003
Entity
Organization
Contact information
Practice address
43 W BROAD ST, TAMAQUA, PA 18252-1943
(610) 377-1300
Mailing address
43 W BROAD ST, TAMAQUA, PA 18252-1943
(610) 377-1300
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
070501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004958310041
—
PA
Enumeration date
04/23/2008
Last updated
05/08/2012
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