National Provider Identifier Database

CLINTON HOSPITAL CORPORATION
Rural Health


Contact Information

CLINTON HOSPITAL CORPORATION
208 E CHURCH ST
LOCK HAVEN, PA17745-2025
Phone: 570-748-0590
Fax: 570-748-0596
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for CLINTON HOSPITAL CORPORATION

NPI Number 1871839688
Legal business name
LBN
CLINTON HOSPITAL CORPORATION
Authorized official TARA RICHARDSON - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart Yes
Enumeration date 12/26/2012
Last updated 04/27/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: 122201
  • PA Medicaid: 1007550910020

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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