Divine Providence Hospital

LBN: Divine Providence Hospital Of The Sisters Of Christian Charity
Divine Providence Hospital is an health care organization with primary practice located at 1100 Grampian Blvd , Williamsport PA 17701-1909. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Radiology, Mammography, Hospitals / General Acute Care Hospital, Hospitals / Psychiatric Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Divine Providence Hospital Of The Sisters Of Christian Charity can be contacted via phone (570) 326-8000, or through Pohjala, Eric D via phone (570) 321-3171.

Contact Information

Primary practice address
1100 Grampian Blvd Williamsport PA 17701-1909
Fax: (570) 326-8601
Website:
Authorized official contact:
Name: Pohjala, Eric D FHFMA, FACHE

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 041001 Pennsylvania
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X 041001 Pennsylvania
Hospitals / General Acute Care Hospital 282N00000X 041001 Pennsylvania
Hospitals / Psychiatric Hospital 283Q00000X 041001 Pennsylvania

Profile Details

NPI number 1861576993
LBN Legal business name Divine Providence Hospital Of The Sisters Of Christian Charity
DBA Doing business as Divine Providence Hospital
Authorized official Pohjala, Eric D FHFMA, FACHE
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2006
Last updated Mar 8th, 2017 - about 7 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 1861576993 NPPES
Pennsylvania MEDICAID 1007563750014
Pennsylvania Other 20012697
Pennsylvania Other 396871
Pennsylvania Other 816867
Pennsylvania Other 000070
Pennsylvania MEDICAID 1007563750031
Pennsylvania MEDICAID 1007563750036
Pennsylvania Other 394048
Pennsylvania Other 394048
Pennsylvania MEDICAID 1007563750034
Pennsylvania MEDICAID 1007563750035
Pennsylvania Other 70159
Pennsylvania MEDICAID 1007563750033
Pennsylvania Other 1066310
Pennsylvania Other 394048
Pennsylvania Other 394048

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