1760954721 NPI number — THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.

Table of content: (NPI 1760954721)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760954721 NPI number — THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760954721
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/12/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
801 OSTRUM ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BETHLEHEM
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18015-1000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
484-526-8046
Provider Business Mailing Address Fax Number:
833-213-6428

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 W PATTERSON ST
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
LANSFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
272-639-5020
Provider Business Practice Location Address Fax Number:
272-639-5017
Provider Enumeration Date:
12/31/2018

Additional Information

Authorized Official

Authorized Official Last Name:
LICHTENWALNER
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
Authorized Official Title or Position:
SR VP FINANCE
Authorized Official Telephone Number:
484-526-3383

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QR1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com