Active NPI
Mid Valley Hospital Assoc
- Critical Access Hospital
- Peckville, PA
National Provider Identifier
1093794810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 390501
- 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 ASSOC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007733330 | Medicaid | PA |
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.
-
- Anesthesiology Physician
- Peckville, PA
- NPI 1821011222
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.