NPIMap

Organization Active NPI

Shamokin Area Community Hospital

  • Skilled Nursing Facility
  • Coal Township, PA
National Provider Identifier
1326023573
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
196502 Issued in PA
Legal business name
SHAMOKIN AREA COMMUNITY HOSPITAL
Practice address
4200 Hospital Rd
Coal Township, PA 17866-9668
Phone
(570) 644-4200
Fax
(570) 644-4351
NPI assigned
Dec 9, 2005
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Mr. Randy Morris
Title
V.P., Cfo
Phone
(570) 644-4229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 196502 PA Primary

Addresses

Primary practice location

4200 Hospital Rd
Coal Township, PA 17866-9668

Mailing address

4200 Hospital Rd
Coal Township, PA 17866-9668
Phone (570) 644-4200

Other identifiers 2

IdentifierTypeStateIssuer
1517OtherPAHIGHMARK SKILLED
31066OtherPAGEISINGER HEALTH PLAN

National Provider Directory

National Provider Directory
Tax ID family
Geisinger Med Ctr27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1326023573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 HOSPITAL RD",
            "city": "COAL TOWNSHIP",
            "state": "PA",
            "postal_code": "178669668",
            "telephone_number": "570-644-4200",
            "fax_number": "570-644-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HOSPITAL RD",
            "city": "COAL TOWNSHIP",
            "state": "PA",
            "postal_code": "178669668",
            "telephone_number": "570-644-4200",
            "fax_number": "570-644-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMOKIN AREA COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "V.P., CFO",
        "authorized_official_telephone_number": "570-644-4229",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "196502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK SKILLED",
            "identifier": "1517",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "31066",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal Township, PA

Sources for this page

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