Provider Demographics
NPI:1164421335
Name:GUTHRIE TOWANDA MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:GUTHRIE TOWANDA MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP CFO FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:MACAFEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-887-5985
Mailing Address - Street 1:91 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:TOWANDA
Mailing Address - State:PA
Mailing Address - Zip Code:18848-9702
Mailing Address - Country:US
Mailing Address - Phone:570-265-2191
Mailing Address - Fax:
Practice Address - Street 1:91 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:TOWANDA
Practice Address - State:PA
Practice Address - Zip Code:18848-9702
Practice Address - Country:US
Practice Address - Phone:570-265-2191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GUTHRIE TOWANDA MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-19
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA650201282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009231OtherAETNA INS. CO. HOSPITAL
PA058076OtherFIRST PRIORITY HEALTH HOS
PA25769OtherGEISINGER HEALTH PLAN HOS
00398343OtherNEW YORK MEDICAID HOSPITA
PA56157OtherMEDPLUS SPU
P008009OtherTRICARE HOSPITAL
PA1007713260001Medicaid
PA81360OtherMEDPLUS HOSPITAL
P008009OtherTRICARE HOSPITAL