Organization Active NPI

Clinton Hospital Corporation

Doing business as Lock Haven Hospital

  • Skilled Nursing Facility
  • Lock Haven, PA
National Provider Identifier
1013988716
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
122202 Issued in PA
Legal business name
CLINTON HOSPITAL CORPORATION
Doing business as
Lock Haven Hospital
Practice address
24 Cree Dr
Lock Haven, PA 17745-2639
Phone
(570) 893-5000
NPI assigned
Jan 30, 2006
Last updated
Apr 27, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CLINTON HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tara P Richardson
Title
Authorized Official
Phone
(615) 221-3672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 122202 PA Primary

Addresses

Primary practice location

24 Cree Dr
Lock Haven, PA 17745-2639

Mailing address

24 Cree Dr
Lock Haven, PA 17745-2639
Phone (570) 893-5000

Other names 1

  • Lock Haven Hospital Doing business as

National Provider Directory

National Provider Directory
Part of
Clinton Hospital Corpor

Locations

22 Cree Dr
Lock Haven, PA 17745
Phone (570) 748-9377

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1013988716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CREE DR",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452639",
            "telephone_number": "570-893-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CREE DR",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452639",
            "telephone_number": "570-893-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINTON HOSPITAL CORPORATION",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-221-3672"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "122202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lock Haven Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lock Haven, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.