Haven Medical Center

LBN: Clinton Hospital Corporation
Haven Medical Center is an health care organization with primary practice located at 208 E Church St , Lock Haven PA 17745-2025. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Clinton Hospital Corporation can be contacted via phone (570) 748-0590, or through Richardson, Tara P via phone (615) 221-3672.

Contact Information

Primary practice address
208 E Church St Lock Haven PA 17745-2025
Fax: (570) 748-0596
Website:
Authorized official contact:
Name: Richardson, Tara P

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 122201 Pennsylvania

Profile Details

NPI number 1871839688
LBN Legal business name Clinton Hospital Corporation
DBA Doing business as Haven Medical Center
Authorized official Richardson, Tara P
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 26th, 2012
Last updated Apr 27th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871839688 NPPES
Pennsylvania MEDICAID 1007550910020

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