| Divine Providence Hospital Of The Sisters Of Christian Charity | |
|
471 Hepburn St Williamsport PA 17701-6122 | |
| (570) 567-5400 | |
| (570) 326-8601 |
| Full Name | Divine Providence Hospital Of The Sisters Of Christian Charity |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 471 Hepburn St, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Charles J Santangelo (EXECUTIVE VP CFO) |
| Authorized Official Contact | 5703213171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Providence Hospital Of The Sisters Of Christian Charity 1205 Grampian Blvd 2nd Floor Williamsport PA 17701-1978 Ph: (570) 326-8676 | Divine Providence Hospital Of The Sisters Of Christian Charity 471 Hepburn St Williamsport PA 17701-6122 Ph: (570) 567-5400 |
| NPI Number | 1033394564 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 01/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033394564 | NPI | - | NPPES |
| 1007563750029 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 041001 (Pennsylvania) | Primary |
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