institution
Divine Providence Hospital Of The Sisters Of Christian Charity
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Selinsgrove, Pennsylvania
NPI 1023110459

Divine Providence Hospital Of The Sisters Of Christian Charity is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Williamsport, PA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Divine Providence Hospital Of The Sisters Of Christian Charity practices in Selinsgrove, PA. The NPI Number for Divine Providence Hospital Of The Sisters Of Christian Charity is 1023110459 and holds a License No. 041001 (Pennsylvania).

The current practice location address for Divine Providence Hospital Of The Sisters Of Christian Charity is 21 Susquehanna Valley Mall Drive, Selinsgrove, PA and can be reached out via phone at 570-374-5454 and via fax at 570-326-8601. You can also correspond with Divine Providence Hospital Of The Sisters Of Christian Charity through the mailing address at 1205 GRAMPIAN BLVD, WILLIAMSPORT, PA - 17701-1978 (mailing address contact number: 570-326-8676).

Location: 21 Susquehanna Valley Mall Drive, Selinsgrove, PA, 17701-1978
institution
Provider Profile Details
NPI Number
1023110459
Provider Name
Divine Providence Hospital Of The Sisters Of Christian Charity
Credential
Provider Entity Type
Organization
Address
21 Susquehanna Valley Mall Drive, Selinsgrove, PA, 17701-1978
Phone Number
570-374-5454
Fax Number
570-326-8601
Provider Enumeration Date
09/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
393510 01 PA BLUE CROSS PIN
816867 01 PA FIRST PRIORITY HEALTH PIN
394048 01 PA HEALTH AMERICA PIN
70159 01 PA GEISINGER HEALTH PLAN PIN
1007563750011 05 PA
000070 01 PA AMERIHEALTH ADMINSTR PIN
1066310 01 PA KEYSTONE MERCY HEALTH PIN
20012697 01 PA AMERIHEALTH HMO AMER PIN
394048 01 PA AETNA PIN
394048 01 PA HEALTH ASSURANCE PIN
396871 01 PA BLACK LUNG PROGRAM PIN
institution
Provider Business Practice Location Address Details
Address
21 Susquehanna Valley Mall Drive
City
State
Zip
17870
Phone Number
570-374-5454
Fax Number
570-326-8601
person
Provider Business Mailing Address Details
Address
21 Susquehanna Valley Mall Drive
City
State
Zip
17870
Phone Number
570-374-5454
Fax Number
570-326-8601
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
041001 (Pennsylvania)
Definition
Definition to come...
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