Active NPI
Mercy Tyler Hospital
- General Acute Care Hospital
- Tunkhannock, PA
National Provider Identifier
1023010261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 460201
- Legal business name
- MERCY TYLER HOSPITAL
- Practice address
- 880 Sr 6 W
Tunkhannock, PA 18657-6149 - Phone
- (570) 836-2161
- Fax
- (570) 836-0395
- NPI assigned
- Jun 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen H Franko
- Title
- Cfo
- Phone
- (570) 348-7074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 460201 | PA | Primary |
Addresses
Primary practice location
880 Sr 6 W
Tunkhannock, PA 18657-6149
Mailing address
880 Sr 6 W
Tunkhannock, PA 18657-6149
Phone (570) 836-2161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0720084-11 | Medicaid | PA |
Other names 1
- Tyler Memorial Hospital
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266796800000",
"number": "1023010261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 SR 6 W",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "186576149",
"telephone_number": "570-836-2161",
"fax_number": "570-836-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 SR 6 W",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "186576149",
"telephone_number": "570-836-2161",
"fax_number": "570-836-0395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY TYLER HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-01",
"last_updated": "2010-02-22",
"status": "A",
"authorized_official_last_name": "FRANKO",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "570-348-7074"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "PA",
"license": "460201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0720084-11",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tyler Memorial Hospital",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Tunkhannock, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.