Provider Demographics
NPI:1467626200
Name:GUTHRIE CLINIC/ROBERT PACKER HOSPITAL
Entity Type:Organization
Organization Name:GUTHRIE CLINIC/ROBERT PACKER HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGERY RESIDENT - PGY V
Authorized Official - Prefix:DR
Authorized Official - First Name:SIDDHARTH
Authorized Official - Middle Name:
Authorized Official - Last Name:BHENDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-986-1297
Mailing Address - Street 1:323 HAYDEN STREET
Mailing Address - Street 2:APARTMENT A
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-1624
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:323 HAYDEN ST
Practice Address - Street 2:APARTMENT A
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840-1624
Practice Address - Country:US
Practice Address - Phone:570-888-6666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA182319282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural