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Divine Providence Hospital Of The Sisters Of Christian Charity

General Acute Care Hospital in Williamsport, PA. Organization (NPI-2).

NPI number1720162878
StatusActive
Last updated in NPPESNov 5, 2007

Details

NPI
1720162878
Entity type
Organization (NPI-2)
Legal business name
Divine Providence Hospital Of The Sisters Of Christian Charity
Organization subpart
Yes
Enumeration date
Oct 25, 2006
Last updated
Nov 5, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282N00000X General Acute Care Hospital041001PAYes
261QP2300X Clinic/Center, Primary Care041001PA
283Q00000X Psychiatric Hospital041001PA

Other names

  • Divine Providence Hospital (Other Name)

Practice location

1100 Grampian Blvd
Williamsport, PA 17701-1909

Phone 570-326-8000 · Fax 570-326-8601

Mailing address

1205 Grampian Blvd
2nd Floor
Williamsport, PA 17701-1978

Phone 570-326-8676 · Fax 570-326-8601

Authorized official

Charles J Santangelo
Executive Vp Cfo
5703213171

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