Provider Demographics
NPI:1508019688
Name:SAINT CATHERINE HOSPITAL OF PENNSYLVANIA LLC
Entity Type:Organization
Organization Name:SAINT CATHERINE HOSPITAL OF PENNSYLVANIA LLC
Other - Org Name:ST CATHERINE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASST VICE PRESIDENT PFS
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:D
Authorized Official - Last Name:LINKCHORST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-875-5810
Mailing Address - Street 1:101 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17921-2147
Mailing Address - Country:US
Mailing Address - Phone:570-875-5810
Mailing Address - Fax:570-875-6773
Practice Address - Street 1:101 BROAD ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:PA
Practice Address - Zip Code:17921-2147
Practice Address - Country:US
Practice Address - Phone:570-875-5810
Practice Address - Fax:570-875-6773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-03
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2704273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101573656Medicaid
PA2704OtherDEPARTMENT OF HEALTH LICENSE
PA2704OtherDEPARTMENT OF HEALTH LICENSE
PA390313Medicare PIN