NPIMap

Organization Active NPI

Carbon - Schuylkill Community Hospital Inc

  • Rural Health Clinic/Center
  • Tamaqua, PA
National Provider Identifier
1285883553
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CARBON - SCHUYLKILL COMMUNITY HOSPITAL INC
Practice address
34 S Railroad St
Tamaqua, PA 18252
Phone
(484) 526-4766
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Authorized official

Name
Thomas Lichtenwalner
Title
Sr Vice President
Phone
(610) 954-3301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

34 S Railroad St
Tamaqua, PA 18252

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (610) 954-6048

Other practice location 1

253 Claremont Ave
Tamaqua, PA 18252-4302
Phone (570) 669-9787

Other names 1

  • ST. LUKE'S MINERS HEALTH CENTER HOMETOWN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000015 PA Part B Supplier - Clinic/Group Practice 4486562030 Receives reassigned benefits from 244 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Coaldale, PA; Hazle Township, PA; Lehighton, PA; Mahanoy City, PA; McAdoo, PA; New Ringgold, PA; Tamaqua, PA

Other NPIs on the same Medicare enrollment 10

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

National Provider Directory

National Provider Directory

Locations

575 S 9th St
Ste 7
Lehighton, PA 18235
Phone (570) 645-1000

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1285883553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "610-954-6048",
            "fax_number": "610-954-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S RAILROAD ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "18252",
            "telephone_number": "484-526-4766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "253 Claremont Ave",
            "address_purpose": "LOCATION",
            "city": "Tamaqua",
            "state": "PA",
            "postal_code": "182524302",
            "country_code": "US",
            "telephone_number": "570-669-9787",
            "fax_number": "570-669-9785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARBON - SCHUYLKILL COMMUNITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "LICHTENWALNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "610-954-3301"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. LUKE'S MINERS HEALTH CENTER HOMETOWN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST. LUKE'S MINERS HEALTH CENTER HOMETOWN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tamaqua, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.