Organization
MARIAN COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY DAVIS (DIRECTOR OF PATIENT FINANCIAL SERVI)
(570) 281-1009
Entity
Organization
Contact information
Practice address
100 LINCOLN AVE, CARBONDALE, PA 18407-2116
(570) 281-1009
(570) 281-1029
Mailing address
100 LINCOLN AVE, CARBONDALE, PA 18407-2116
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
450801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007207
FIRST PRIORITY HEALTH
PA
05
—
1007599490021
—
PA
05
—
1007599490025
—
PA
05
—
10075994915
—
PA
01
—
14906
GEISINGER HOSPITAL CLAIMS
PA
01
—
390095
BLUE CROSS HOSPITAL CLAIM
PA
01
—
56119
THREE RIVERS SPU
PA
01
—
68688
THREE RIVERS IP/OP
PA
01
—
73816
THREE RIVERS ED
PA
Enumeration date
06/28/2005
Last updated
01/10/2008
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