Provider Demographics
NPI:1629118856
Name:ROXBURY PSYCHIATRIC HOSPITAL
Entity Type:Organization
Organization Name:ROXBURY PSYCHIATRIC HOSPITAL
Other - Org Name:ROXBURY PSYCHIATRIC HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:601 ROXBURY ROAD
Mailing Address - Street 2:
Mailing Address - City:SHIPPENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17257
Mailing Address - Country:US
Mailing Address - Phone:717-532-4217
Mailing Address - Fax:717-532-4003
Practice Address - Street 1:601 ROXBURY ROAD
Practice Address - Street 2:
Practice Address - City:SHIPPENSBURG
Practice Address - State:PA
Practice Address - Zip Code:17257
Practice Address - Country:US
Practice Address - Phone:717-532-4217
Practice Address - Fax:717-532-4003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA287017283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA394050Medicare Oscar/Certification