Divine Providence Hospital Of The Sisters Of Christian Charity

NPI 1023110459 - Clinic/Center - 261QE0700X

NPI Details
NPI 1023110459
Enumeration Date 09/05/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHARLES J. CHARLES
Position EXECUTIVE VP CFO
Phone (570) 374-5454
Fax (570) 326-8601
Practice Location
21 SUSQUEHANNA VALLEY MALL DRIVE
SUITE D
SELINSGROVE PA, 17870, US
Phone (570) 374-5454
Fax (570) 326-8601
Business Location
1205 GRAMPIAN BLVD
2ND FLOOR
WILLIAMSPORT PA, 17701-1978, US
Phone (570) 326-8676
Fax (570) 326-8601
Toxanomy
Taxonomy Code 261QE0700X
License State Pennsylvania
License Number 041001
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According to our database, Divine Providence Hospital Of The Sisters Of Christian Charity NPI is 1023110459, taxonomy code is 261QE0700X and license number is 041001, license state is located at Pennsylvania. Divine Providence Hospital Of The Sisters Of Christian Charity physically located at 21 Susquehanna Valley Mall Drive, Selinsgrove PA, 17870. NPI Number 1033115704 has the healthcare provider type.

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1023110459 NPI number is provided on an as is basis without warranty of any kind. 1023110459 is maintained by the National Plan & Provider Enumeration System. The contents of Divine Providence Hospital Of The Sisters Of Christian Charity are for informational purposes only.