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Contact Information

DEPARTMENT OF MILITARY COMMONWEALTH OF PENNSYLVANIA
401 PENN AVE
SCRANTON, PA18503
 Phone: 570-961-4353
 Fax: 570-961-4400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Military General Acute Care Hospital

2865M2000X
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for DEPARTMENT OF MILITARY COMMONWEALTH OF PENNSYLVANIA

NPI # 1497734925
LBN Legal business name DEPARTMENT OF MILITARY COMMONWEALTH OF PENNSYLVANIA
Authorized official THOMAS REED - (FISCAL SERVICES ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2006
Last updated 05/24/2022 - About 4 years ago
Identifiers
PA License # HP4183791
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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