Organization Active NPI

Mercy Tyler Hospital

  • General Acute Care Hospital
  • Tunkhannock, PA
National Provider Identifier
1023010261
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
460201 Issued in PA
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

Updated by the provider on Feb 22, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0720084-11MedicaidPA

Other names 1

  • Tyler Memorial Hospital Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.