Schuylkill Medical Center-south Jackson Street

NPI 1184625360 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1184625360
Enumeration Date 08/10/2005
Last Updated 05/21/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JOHN E. JOHN
Position PRESIDENT AND CEO
Phone (570) 621-5000
Fax (570) 622-8221
Practice Location
420 S JACKSON ST
POTTSVILLE PA, 17901-3625, US
Phone (570) 621-5000
Fax (570) 622-8221
Business Location
420 S JACKSON ST
POTTSVILLE PA, 17901-3625, US
Phone (570) 621-5000
Fax (570) 622-8221
Toxanomy
Taxonomy Code 367500000X
License State Pennsylvania
License Number 421001
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According to our database, Schuylkill Medical Center-south Jackson Street NPI is 1184625360, taxonomy code is 367500000X and license number is 421001, license state is located at Pennsylvania. Schuylkill Medical Center-south Jackson Street physically located at 420 S Jackson St, Pottsville PA, 17901-3625. NPI Number 1033115704 has the healthcare provider type.

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1184625360 NPI number is provided on an as is basis without warranty of any kind. 1184625360 is maintained by the National Plan & Provider Enumeration System. The contents of Schuylkill Medical Center-south Jackson Street are for informational purposes only.