Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD ECKENRODE RRT (RESPIRATORY THERAPIST)
(570) 824-3521
Entity
Organization
Contact information
Practice address
1111 EAST END BLVD., WILKES-BARRE, PA 18711
(570) 824-3521
Mailing address
303 SCHOOLHOUSE RD., TUNKHANNOCK, PA 18657
(570) 333-5224
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
YM000449L
PA
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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