| NPI | 1104851849 |
|---|---|
| Other Name | DIVINE PROVIDENCE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | ERIC D. POHJALA Executive Vice President CFO, CPO 570-321-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: PA 041001) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 041001) |
| 261QR0206X Clinic/Center, Radiology, Mammography (Licence: PA 041001) | |
| 282N00000X General Acute Care Hospital (Licence: PA 041001) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-07-25 |