| Wvhcs-hospital | |
|
575 N River St Wilkes Barre PA 18764-0001 | |
| (570) 829-8111 | |
| (570) 552-3030 |
| Full Name | Wvhcs-hospital |
|---|---|
| Speciality | Clinic/center |
| Location | 575 N River St, Wilkes Barre, Pennsylvania |
| Authorized Official Name and Position | Maggie R Koehler (SENIOR VP & CFO) |
| Authorized Official Contact | 5705523023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wvhcs-hospital 575 N River St Wilkes Barre PA 18764-0001 Ph: (570) 829-8111 | Wvhcs-hospital 575 N River St Wilkes Barre PA 18764-0001 Ph: (570) 829-8111 |
| NPI Number | 1184765711 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184765711 | NPI | - | NPPES |
| 1008143800001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 234501 (Pennsylvania) | Primary |
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