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
273R00000X
Psychiatric Hospital Unit
Primary
930920
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007753070013
—
PA
05
—
1007753070021
—
PA
01
—
1518
HIGHMARK PSYCH
PA
Enumeration date
12/09/2005
Last updated
02/22/2011
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