Organization Active NPI

Mid Valley Hospital Assoc

  • Critical Access Hospital
  • Peckville, PA
National Provider Identifier
1093794810
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
390501 Issued in PA
Legal business name
MID VALLEY HOSPITAL ASSOC
Practice address
1400 Main St
Peckville, PA 18452-2009
Phone
(570) 340-2983
NPI assigned
Jan 11, 2006
Organization subpart
Yes
Parent organization
MID VALLEY HOSPITAL ASSOCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Mrs. Catherine J Toomey
Title
Busines Manager
Phone
(570) 340-2983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 390501 PA Primary

Addresses

Primary practice location

1400 Main St
Peckville, PA 18452-2009

Mailing address

PO Box 1489
Scranton, PA 18501-1489
Phone (570) 340-2983

Other identifiers 1

IdentifierTypeStateIssuer
1007733330MedicaidPA

National Provider Directory

National Provider Directory
Part of
Mid-Valley Hospital

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1093794810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1489",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185011489",
            "telephone_number": "570-340-2983",
            "fax_number": "570-340-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522009",
            "telephone_number": "570-340-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY HOSPITAL ASSOC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID VALLEY HOSPITAL ASSOC",
        "enumeration_date": "2006-01-11",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "TOOMEY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINES MANAGER",
        "authorized_official_telephone_number": "570-340-2983",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "PA",
            "license": "390501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007733330",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peckville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.