NPIMap

Organization Active NPI

Schuylkill Medical Center - South Jackson Street

  • Rehabilitation Hospital Unit
  • Pottsville, PA
National Provider Identifier
1255823845
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
421001 Issued in PA
Legal business name
SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET
Practice address
700 E Norwegian St
Pottsville, PA 17901-2710
Phone
(570) 621-5093
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Ms. Diane N Boris
Title
Vice President of Finance
Phone
(570) 621-5093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 421001 PA Primary

Addresses

Primary practice location

700 E Norwegian St
Pottsville, PA 17901-2710

Mailing address

700 E Norwegian St
Pottsville, PA 17901-2710
Phone (570) 621-5093

Other names 1

  • Lehigh Valley Hospital - Schuylkill S. Jackson Street Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pottsville Hosp Anes10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1255823845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E NORWEGIAN ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012710",
            "telephone_number": "570-621-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E NORWEGIAN ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012710",
            "telephone_number": "570-621-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "BORIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "570-621-5093",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "PA",
            "license": "421001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lehigh Valley Hospital - Schuylkill S. Jackson Street",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lehigh Valley Hospital - Schuylkill S. Jackson Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.