Provider Demographics
NPI:1336314384
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:570-265-4797
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:570-265-4797
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GUTHRIE TOWANDA MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-29
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA31007OtherGEISINGER HEALTH PLAN SWING BED
PA31007OtherGEISINGER HEALTH PLAN SWING BED