Provider Type Icon

DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY NPI 1861576993


NPI Information

NPI: 1861576993
Provider Name: DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY

Other Name: DIVINE PROVIDENCE HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA
ZIP 17701
Phone: (570) 326-8000
Get Directions

DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY is a general acute care hospital in Williamsport, PA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY NPI is 1861576993. The provider is registered as an organization entity type.
The provider Other Name Is Divine Providence Hospital.

The provider's business location address is:

1100 GRAMPIAN BLVD
WILLIAMSPORT, PA
ZIP 17701-909
Phone: (570) 326-8000
Fax: (570) 326-8601

The provider's authorized official is Eric D Pohjala .
The authorized official title is Executive Vice President Cfo, Cpo and has the following contact phone number (570) 321-3171.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 3/8/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center041001PENNSYLVANIANo
2261QR0206XClinic/CenterRadiology, Mammography041001PENNSYLVANIANo
3283Q00000XPsychiatric Hospital041001PENNSYLVANIANo
4282N00000XGeneral Acute Care Hospital041001PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERPENNSYLVANIAMAILHANDLERS BENEFIT PIN
2816867OTHERPENNSYLVANIAFIRST PRIORITY HEALTH PIN
3394048OTHERPENNSYLVANIAHEALTH AMERICA PIN
41007563750014MEDICAIDPENNSYLVANIA
5000070OTHERPENNSYLVANIAAMERIHEALTH ADMINSTR PIN
6394048MEDICARE OSCAR/CERTIFICATIONPENNSYLVANIA
71066310OTHERPENNSYLVANIAKEYSTONE MERCY HEALTH PIN
81007563750031MEDICAIDPENNSYLVANIA
91007563750034MEDICAIDPENNSYLVANIA
101007563750033MEDICAIDPENNSYLVANIA
11394048OTHERPENNSYLVANIABLUE CROSS PIN
12394048OTHERPENNSYLVANIAHEALTH ASSURANCE PIN
131007563750035MEDICAIDPENNSYLVANIA
1470159OTHERPENNSYLVANIAGEISINGER HEALTH PLAN PIN
15394048OTHERPENNSYLVANIAAETNA PIN
16396871OTHERPENNSYLVANIABLACK LUNG PROGRAM PIN
1720012697OTHERPENNSYLVANIAAMERIHEALTH HMO AMER PIN
181007563750036MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.