PECKVILLE HOSPITAL COMPANY LLC (NPI# 1346519386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346519386 |
| Entity Type | Organization |
| Organization Name | PECKVILLE HOSPITAL COMPANY LLC |
| Other Organization Name | MID-VALLEY HOSPITAL |
| Practice Address |
1400 Main St Peckville PA 18452-2009 |
| Practice Telephone | 5703402983 |
| Mailing Telephone | 5703402983 |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2013-12-02 |
| Authorized Official Name | LAURIE HOLTSFORD (AUTH OFFICIAL / DIR BO SUP) |
| Authorized Official Telephone | 6154657466 |
| Is Organization Subpart | Y |
| Parent Organization Name | PECKVILLE HOSPITAL COMPANY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Mid-Valley Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639447543 | Peckville Hospital Company LLC | General Acute Care Hospital | 1400 Main St, Peckville, PA 18452-2009 | 2011-12-06 |
| Street Address |
1400 MAIN ST |
| City | PECKVILLE |
| State | PA |
| Zip Code | 18452-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295193878 | Rebecca Ropoch | Nurse Practitioner | 1400 Main St, Peckville, PA 18452-2078 | 2016-02-10 |
| 1467887596 | Blakely Emergency Group PC | Physician Assistant | 1400 Main St, Peckville, PA 18452-2009 | 2013-09-09 |
| 1639447543 | Peckville Hospital Company LLC | General Acute Care Hospital | 1400 Main St, Peckville, PA 18452-2009 | 2011-12-06 |
| 1255654539 | Nathan Andrew Greczek | Family Medicine | 1400 Main St, Peckville, PA 18452-2009 | 2010-03-01 |
| 1104042043 | Joanne Ryczak | Dietitian, Registered | 1400 Main St, Mid Valley Hospital, Peckville, PA 18452 | 2007-04-18 |
| 1417078320 | Northern Bariatric Surgery Institute, Inc. | Surgery | 1400 Main St, Mvh Professional Services Bldg, Peckville, PA 18452-2009 | 2007-04-02 |
| 1033123393 | Joseph Charles Seprosky Jr. | Emergency Medicine | 1400 Main St, Peckville, PA 18452-2009 | 2006-07-29 |
| 1821011222 | Mid Valley Hospital Assoc | Anesthesiology | 1400 Main St, Peckville, PA 18452-2009 | 2006-07-26 |
| 1700828134 | Epmg of Pennsylvania, P.C. | Emergency Medicine | 1400 Main St, Peckville, PA 18452-2009 | 2006-06-11 |
| 1497707079 | Robert Lee Hill | Emergency Medicine | 1400 Main St, Peckville, PA 18452-2009 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275718363 | Eugene Marchegiani Jr. | Chiropractor | 440 Keystone Ave, Peckville, PA 18452 | 2008-01-08 |
| 1598745499 | Anthony William Freda | Internal Medicine | 320 Keystone Ave, Peckville, PA 18452 | 2006-01-18 |
| 1396140505 | William John Antognoli | Pathology | 613 Main Street, Peckville, PA 18452 | 2014-10-30 |
| 1083714331 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 1425 Main Street, Peckville, PA 18452 | 2006-09-25 |
| 1457463275 | Cynthia G Charnetski | Optometrist | 1582 Main St, Peckville, PA 18452 | 2006-08-31 |
| 1417963844 | Angela Michelle Plominski | Specialist/Technologist | 1333 Main St, Peckville, PA 18452 | 2006-07-31 |
| 1689913196 | Keystone Independent Living | Custodial Care Facility | 202 Boulevard Ave, Peckville, PA 18452-1002 | 2013-02-04 |
| 1396253183 | Tom Horeis | Pharmacist | 3 Circle Dr, Peckville, PA 18452-1003 | 2018-01-16 |
| 1609473206 | Maura Christine Merli | Nurse Practitioner | 106 Hospital St, Peckville, PA 18452-1108 | 2020-10-06 |
| 1770988693 | Christina Lukowski | Registered Nurse | 754 Crystal St, Peckville, PA 18452-1214 | 2014-11-04 |
| Find all providers in zip 18452 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518946268 | Mid Valley Hospital Assoc | Medicare Defined Swing Bed Unit | 1400 Main St, Peckville, PA 18452-2009 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144461419 | University of Pittsburgh Medical Center | Medicare Defined Swing Bed Unit | 200 Lothrop St. Scaife Hall, Suite B-571.3, Pittsburgh, PA 15213 | 2009-03-17 |
| 1104921428 | Titusville Area Hospital | Medicare Defined Swing Bed Unit | 406 West Oak Street, Titusville, PA 16354 | 2006-09-13 |
| 1679500334 | Wayne Memorial Hospital | Medicare Defined Swing Bed Unit | 601 Park Street, Honesdale, PA 18431 | 2006-06-27 |
| 1982681102 | Bucktail Medical Center | Medicare Defined Swing Bed Unit | 1001 Pine Street, Renovo, PA 17764 | 2005-12-29 |
| 1811511108 | Wilkes-barre Hospital Company LLC | Medicare Defined Swing Bed Unit | 575 N River St, Wilkes Barre, PA 18764-0999 | 2020-06-02 |
| 1194368167 | Stc Opco LLC | Medicare Defined Swing Bed Unit | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-23 |
| 1457879538 | Jennersville Hospital, LLC | Medicare Defined Swing Bed Unit | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2017-09-08 |
| 1750803797 | Upmc Lock Haven | Medicare Defined Swing Bed Unit | 24 Cree Dr, Lock Haven, PA 17745-2699 | 2017-07-12 |
| 1437671484 | Upmc Susquehanna Sunbury | Medicare Defined Swing Bed Unit | 350 N 11th St, Sunbury, PA 17801-1611 | 2017-07-12 |
| 1972982882 | T.g.c.h. Inc. | Medicare Defined Swing Bed Unit | 350 Bonar Ave, Waynesburg, PA 15370-1608 | 2015-05-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.