Wilkes Barre Hospital Company LLC
Organization Active NPI Clinic/Center · Wilkes Barre, PA
NPI 1053554378 · NPPES record last updated May 28, 2020
Key facts
- NPI
- 1053554378
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- WILKES BARRE HOSPITAL COMPANY LLC
- Practice address
- 575 N River St
Wilkes Barre, PA 18764-0999 - Phone
- (570) 829-8111
- NPI assigned
- Apr 16, 2009
- Organization subpart
- No
Authorized official
- Name
- Paula Lalor
- Title
- Director
- Phone
- (615) 925-4565
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 4
Related certifications (CCN) 1
Practitioners 4
-
Beth M Higgins, RD, LDN
-
Deborah Ann Justice, R.D., L.D.N.
-
Mark S Polin, MD
-
Arlene C Feleccia, RD, CDE, LDN
Affiliated clinicians 597
-
Kelsey Aciukewicz, CRNP
-
Michael A Acker, MD
-
Marie Juliette Adajar, M.D.
-
Mario L. Adajar Jr., M.D.
-
Michael L Adler, M.D.
-
Navid Ahmad, MD
-
Camilo Alcoseba, M.D.
-
Aman Ali, MD
-
Essam M Almeky, MD
-
Ibrahim M Almeky, MD
-
Michael Alocci, MD
-
Javid Rohullah Amini, M.D.
-
Jacques Amja, M.D.
-
Guenadi Amoachi, MD
-
Paul Anthony Arkless, M.D.
-
Anthony Ascione, DO
-
Milos Babic, M.D.
-
Michelle Balas, MD
-
Kayla Baloga, DPM
Medicare Care Compare: Hospital
- Listed as
- Wilkes-Barre General Hospital
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Hospital certification: CCN 390137
- Legal name
- WILKES BARRE HOSPITAL COMPANY LLC
- Doing business as
- WILKES BARRE GENERAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Sep 18, 2024
- Beds
- 369 (335 certified)
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- May 1, 2009 (1 total)
- Organization structure
- LLC · Proprietary
- Incorporated
- Oct 30, 2008 in DE
- Enrollment address
- 575 N River Street
Wilkes Barre General Hospital
Wilkes Barre, PA 18764-0999 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Roy Boyd |
W-2 Managing Employee |
Apr 17, 2025 | |
| Tenor Health Foundation, Inc. |
5% Or Greater Indirect Ownership Interest | Jan 30, 2026 | 100% |
| Michael Bogert |
Corporate Officer |
Jan 30, 2026 | |
| Tenor Health Foundation, Wilkes Barre, LLC |
5% Or Greater Direct Ownership Interest | Jan 30, 2026 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090713000199 | PA | Part a Provider - Hospital | 5890845754 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Nanticoke, PA; Wilkes Barre, PA; Wilke Barre, PA; Shaver Town, PA; Plains, PA; Pittston, PA; Exeter, PA; Forty Fort, PA… |
National Provider Directory
- Tax ID family
- Wilkes Barre Hospital Company LLC
Locations
468 Northampton St
#P
Edwardsville, PA 18704
Phone (570) 552-4500
534 Wyoming Ave
Ste 201
Kingston, PA 18704
Phone (570) 552-7150
190 Welles St
Ste 150
Kingston, PA 18704
Phone (570) 283-2323
239 S Mountain Blvd
Ste 200
Mountain Top, PA 18707
Phone (570) 715-7900
62 N Mountain Blvd
Mountain Top, PA 18707
Phone (570) 474-6562
239 S Mountain Blvd
Ste 400
Mountain Top, PA 18707
Phone (570) 715-7900
672 S River St
Ste 201
Plains, PA 18705
Phone (570) 552-7810
130 S Pennsylvania Ave
Wilkes Barre, PA 18701
Phone (570) 823-3838
545 N River St
Ste 400
Wilkes Barre, PA 18702
Phone (570) 552-3110
1065 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (570) 829-6900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes | ||
| Ambulatory Surgical Clinic/Center | 261QA1903X |
Addresses
Primary practice location
575 N River St
Wilkes Barre, PA 18764-0999
Mailing address
575 N River St
Wilkes Barre, PA 18764-0999
Phone (570) 829-8111
Other names
- Wilkes Barre General Hospital
Other providers in Wilkes Barre, PA
- Wilkes Barre Behavioral Hospital Company LLC
- Wilkes Barre Behavioral Hospital Company LLC
- Wilkes Barre Behavioral Hospital Company LLC
- Wilkes Barre Behavioral Hospital Company LLC
- Wilkes Barre Chiropractic and Rehabilitition Inc
- Wilkes Barre Hospital Company LLC
- Wilkes Barre Hospital Company LLC
- Wilkes Barre Hospital Company LLC
- Wilkes Barre Imaging, LLC
- Wilkes Barre Scranton Chiropractic and Rehabilitation
All providers in Wilkes Barre, PA · Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.