Provider Demographics
NPI:1558693739
Name:CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.
Entity Type:Organization
Organization Name:CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.
Other - Org Name:ST. LUKE'S MINER'S HEALTH CENTER - MCADOO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER, ENROLLMENT CENTER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-954-1881
Mailing Address - Street 1:14 N KENNEDY DR
Mailing Address - Street 2:
Mailing Address - City:MCADOO
Mailing Address - State:PA
Mailing Address - Zip Code:18237-1908
Mailing Address - Country:US
Mailing Address - Phone:570-669-9990
Mailing Address - Fax:
Practice Address - Street 1:14 N KENNEDY DR
Practice Address - Street 2:
Practice Address - City:MCADOO
Practice Address - State:PA
Practice Address - Zip Code:18237-1908
Practice Address - Country:US
Practice Address - Phone:570-669-9990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-12
Last Update Date:2011-03-21
Deactivation Date:2011-02-02
Deactivation Code:
Reactivation Date:2011-03-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health