Organization
CLINTON HOSPITAL CORPORATION
Active
Parent organization
CLINTON HOSPITAL CORPORATION
Other names
Haven Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINTON HOSPITAL CORPORATION
Authorized official
TARA P RICHARDSON (AUTHORIZED OFFICIAL)
(615) 221-3672
Entity
Organization
Contact information
Practice address
208 E CHURCH ST, LOCK HAVEN, PA 17745-2025
(570) 748-0590
(570) 748-0596
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7488
(615) 469-6505
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
122201
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007550910020
—
PA
Enumeration date
12/26/2012
Last updated
04/27/2016
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