| NPI | 1720162878 |
|---|---|
| Other Name | DIVINE PROVIDENCE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | CHARLES J SANTANGELO Executive VP CFO 570-321-3171 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: PA 041001) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: PA 041001) |
| 283Q00000X Psychiatric Hospital (Licence: PA 041001) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-11-05 |