Organization
COMMUNITY MEDICAL CENTER
Active
Parent organization
COMMUNITY MEDICAL CENTER
Other names
CRNA
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEDICAL CENTER
Authorized official
MRS. ELLEN Z PERIN (DIRECTOR OF FINANCE)
(570) 558-3500
Entity
Organization
Contact information
Practice address
1822 MULBERRY STREET, SCRANTON, PA 18501-0934
(570) 558-3500
(570) 558-3513
Mailing address
PO BOX 934, 1822 MULBERRY STREET, SCRANTON, PA 18501-0934
(570) 558-3500
(570) 558-3513
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007456760028
—
PA
Enumeration date
02/01/2006
Last updated
07/21/2008
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