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
282NR1301X
Rural Acute Care Hospital
Primary
196501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030086400
FEDERAL BLACK LUNG PROGRA
PA
05
—
1007753070003
—
PA
05
—
1007753070004
—
PA
05
—
1007753070009
—
PA
05
—
1007753070010
—
PA
01
—
1012710001
HEALTH AMERICA
PA
01
—
1501462
GATEWAY
PA
01
—
1516
HIGHMARK ACUTE
PA
01
—
25714
GEISINGER HEALTH PLAN
PA
01
—
56136
MEDPLUS
PA
01
—
56137
MEDPLUS
PA
01
—
66283
MEDPLUS
PA
01
—
74340
MEDPLUS
PA
Enumeration date
05/24/2005
Last updated
02/22/2011
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