Provider Demographics
NPI:1295507259
Name:ROBERT PACKER HOSPITAL
Entity type:Organization
Organization Name:ROBERT PACKER HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, CRC
Authorized Official - Prefix:
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGGIOMO
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:570-887-8756
Mailing Address - Street 1:91 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:TOWANDA
Mailing Address - State:PA
Mailing Address - Zip Code:18848-9702
Mailing Address - Country:US
Mailing Address - Phone:570-268-2518
Mailing Address - Fax:570-268-2206
Practice Address - Street 1:91 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:TOWANDA
Practice Address - State:PA
Practice Address - Zip Code:18848-9702
Practice Address - Country:US
Practice Address - Phone:570-268-2518
Practice Address - Fax:570-268-2206
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROBERT PACKER HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty