Organization Active NPI

Wvhcs-Hospital

  • Clinic/Center
  • Wilkes Barre, PA
National Provider Identifier
1184765711
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
234501 Issued in PA
Legal business name
WVHCS-HOSPITAL
Practice address
575 N River St
Wilkes Barre, PA 18764-0001
Phone
(570) 829-8111
Fax
(570) 552-3030
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maggie R Koehler
Title
Senior VP & Cfo
Phone
(570) 552-3023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 234501 PA Primary

Addresses

Primary practice location

575 N River St
Wilkes Barre, PA 18764-0001

Mailing address

575 N River St
Wilkes Barre, PA 18764-0001
Phone (570) 829-8111

Other identifiers 1

IdentifierTypeStateIssuer
1008143800001MedicaidPA

Other names 1

  • Wilkes-Barre General Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

670 S River St
Ste 200
Plains, PA 18705

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184765711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187640001",
            "telephone_number": "570-829-8111",
            "fax_number": "570-552-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187640001",
            "telephone_number": "570-829-8111",
            "fax_number": "570-552-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WVHCS-HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SENIOR VP & CFO",
        "authorized_official_telephone_number": "570-552-3023"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "234501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008143800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkes-Barre General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.