| NPI | 1225500770 |
|---|---|
| Doing Business As | WILLIAMSPORT REGIONAL MEDICAL CENTER SPU- DIVINE PROVIDENCE CAMPUS |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER STOCKHAUSEN CFO 412-578-9592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2023-11-27 |