Berwick Hospital Company LLC

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

024901 Issued in PA

Legal business name

BERWICK HOSPITAL COMPANY LLC

Practice address

701 E 16TH St
Berwick, PA 18603-2316

Phone

(570) 759-5000

Fax

(570) 759-3473

NPI assigned

Jan 30, 2006

Organization subpart

No

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

Authorized official

Name

Paula M Lalor

Title

Director/Delegated Official

Phone

(615) 925-4565

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Berwick Hospital Center Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Hospital certification: CCN 394058

Legal name

BERWICK HOSPITAL COMPANY LLC

Doing business as

BERWICK HOSPITAL CENTER

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Dec 9, 2022

Last certification

Jan 9, 2025

Beds

14

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Incorporated

Oct 29, 2007 in DE

Enrollment address

701 E 16TH St
Berwick, PA 18603-2316
Main/Primary Hospital Location

Hospital subgroups

Psychiatric

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Berwick Hospital Company LLC

  • Psychiatric Hospital
  • Berwick, PA
  • NPI 1396471116

  O20221103002243

  Same enrollment

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Listed as

Berwick Hospital CenterCCN 394058

Type

Psychiatric

Ownership

Proprietary

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1174594840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503171",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631503171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 16TH ST",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032316",
            "telephone_number": "570-759-5000",
            "fax_number": "570-759-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERWICK HOSPITAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "615-925-4565"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "PA",
            "license": "024901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007562590019",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "390072",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berwick Hospital Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Berwick, PA
• Psychiatric Hospital Unit in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.