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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 Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for CLINTON HOSPITAL CORPORATION

NPI Number 1871839688
LBN Legal business name CLINTON HOSPITAL CORPORATION
Authorized official TARA RICHARDSON - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/26/2012
Last updated 04/27/2016 - About 10 years ago
Identifiers
PA License # 122201
PA Medicaid 1007550910020
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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