Provider Demographics
NPI:1356842462
Name:THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.
Entity Type:Organization
Organization Name:THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.
Other - Org Name:ST. LUKE'S MINERS HEALTH CENTER RINGTOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:LICHTENWALNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-526-3301
Mailing Address - Street 1:411 S SHENANDOAH RD
Mailing Address - Street 2:
Mailing Address - City:RINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17967-9432
Mailing Address - Country:US
Mailing Address - Phone:570-645-1951
Mailing Address - Fax:570-645-1952
Practice Address - Street 1:411 S SHENANDOAH RD
Practice Address - Street 2:
Practice Address - City:RINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:17967-9432
Practice Address - Country:US
Practice Address - Phone:570-645-1951
Practice Address - Fax:570-645-1952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-23
Last Update Date:2018-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty