Organization
SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET SPU
Active
Other names
The Pottsville Hospital and Warne Clinic SPU
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MARCHOZZI (SR VP & CFO)
(484) 862-3943
Entity
Organization
Contact information
Practice address
420 S JACKSON ST, POTTSVILLE, PA 17901-3625
(570) 621-5142
(570) 621-5113
Mailing address
420 S JACKSON ST, POTTSVILLE, PA 17901-3625
(570) 621-5142
(570) 621-5113
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100760725-0016
—
PA
Enumeration date
02/12/2007
Last updated
01/09/2025
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