PECKVILLE HOSPITAL COMPANY LLC (NPI# 1639447543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639447543 |
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 | 2011-12-06 |
Last Update Date | 2013-12-02 |
Authorized Official Name | LAURIE HOLTSFORD (AUTH OFFICIAL / DIR BO SUP) |
Authorized Official Telephone | 6154657466 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
Other Name | Type Code |
---|---|
Mid-Valley Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346519386 | Peckville Hospital Company LLC | Medicare Defined Swing Bed Unit | 1400 Main St, Peckville, PA 18452-2009 | 2011-12-20 |
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 |
1346519386 | Peckville Hospital Company LLC | Medicare Defined Swing Bed Unit | 1400 Main St, Peckville, PA 18452-2009 | 2011-12-20 |
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 |
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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 | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093794810 | Mid Valley Hospital Assoc | General Acute Care Hospital | 1400 Main St, Peckville, PA 18452-2009 | 2006-01-11 |
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1205207164 | Thomas Jefferson University Hospital | General Acute Care Hospital | 33 Meadow Creek Ln, Glenmoore, PA 19343-2017 | 2015-10-16 |
1174860118 | Va Hospital | General Acute Care Hospital | 534 Altoona Pl, Pittsburgh, PA 15228-1204 | 2013-01-10 |
1184855330 | Temple Hospital | General Acute Care Hospital | 24 Edgemoor Rd, Cheltenham, PA 19012 | 2009-08-06 |
1306004338 | Richard Allen Davis | General Acute Care Hospital | 1238 Meadowbank Rd, Villanova, PA 19085 | 2008-05-27 |
1588845663 | York Hospital | General Acute Care Hospital | 2706 Foxshire Dr, York, PA 17402-8531 | 2007-11-17 |
1942496179 | Medicare Health Insurance | General Acute Care Hospital | 20 5th St, Claysville, PA 15323-1272 | 2007-09-21 |
1780875864 | Pennsylvania | General Acute Care Hospital | 108 Shallow Springs Ct, Exton, PA 19341-3004 | 2007-08-05 |
1770620775 | Vaphs | General Acute Care Hospital | 118 Pleasant Dr, Canonsburg, PA 15317-9551 | 2007-01-31 |
1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
1528074911 | Va Medical Center | General Acute Care Hospital | 1111 E. End Blvd, Wilkes-barre, PA 18711 | 2006-07-31 |
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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.