Memorial Hospital Inc of Towanda PA

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

741105 Issued in PA

Legal business name

MEMORIAL HOSPITAL INC OF TOWANDA PA

Practice address

91 Hospital Dr
Towanda, PA 18848-9702

Phone

(570) 265-2191

Fax

(570) 265-0932

NPI assigned

May 23, 2006

Last updated

Nov 29, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

MEMORIAL HOSPITAL IN-HOME CARE DIVISIONAs reported in NPPES

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

Authorized official

Name

Mr. Gary Baker

Title

President/Ceo

Phone

(570) 265-2191

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Memorial Hospital

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1184679854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 HOSPITAL DR",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489702",
            "telephone_number": "570-265-2191",
            "fax_number": "570-265-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 HOSPITAL DR",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489702",
            "telephone_number": "570-265-2191",
            "fax_number": "570-265-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL INC OF TOWANDA PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL IN-HOME CARE DIVISION",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "570-265-2191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "741105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007713260015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Ann McAdoo, LCSW
• Megan Christine McClary, DPT
• Ashley McConnell, BSN, RN, IBCLC
• Rebecca Lynn McKernan
• George Meikle, M.D.
• Memorial Hospital Inc of Towanda PA
• Memorial Hospital Inc of Towanda PA
• Memorial Hospital Inc of Towanda PA
• Memorial Hospital Private Care
• Mental Health Associates of North Central PA

• Home Health Agency in Towanda, PA
• Providers in Towanda, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.