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Organization

PHC-ASHLAND, L.P.

Active
Other names
Ashland Regional Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM M. GRACEY (CHIEF OPERATING OFFICER)
(615) 372-8500
Entity
Organization

Contact information

Practice address
101 BROAD ST, ASHLAND, PA 17921-2147
(570) 875-5979
(570) 875-5980
Mailing address
101 BROAD ST, ASHLAND, PA 17921-2147
(570) 875-5979
(570) 875-5980

Taxonomy

Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
270401
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
212336
BLACK LUNG
PA
01
390181
CAPITAL BLUE CROSS
PA
05
OP39018
RI
Enumeration date
11/17/2005
Last updated
08/22/2020
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