NPI | 1164274247 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY L MULL System Director Credentialing 570-271-6603 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 282N00000X General Acute Care Hospital |
Enumeration Date | 2024-04-03 |
Last Update Date | 2025-06-12 |