| NPI | 1285718312 |
|---|---|
| Other Name | DIVINE PROVIDENCE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | ERIC D POHJALA Executive Vice President CFO, CPO 570-321-3171 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 041001) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2016-07-25 |