Marian Community Hospital

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

450801 Issued in PA

Legal business name

MARIAN COMMUNITY HOSPITAL

Practice address

100 Lincoln Ave
Carbondale, PA 18407-2116

Phone

(570) 281-1009

Fax

(570) 281-1029

NPI assigned

Nov 21, 2006

Last updated

Jul 17, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

MARIAN COMMUNITY HOSPITALAs reported in NPPES

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

Authorized official

Name

Mrs. Nancy Davis

Title

Director Patient Financial Services

Phone

(570) 281-1009

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Marian Community Hospit

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Marian Community Hospital

  • General Acute Care Hospital
  • Carbondale, PA
  • NPI 1679579262
  NPPES parent name

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1407921786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LINCOLN AVE",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072116",
            "telephone_number": "570-281-1009",
            "fax_number": "570-281-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LINCOLN AVE",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072116",
            "telephone_number": "570-281-1009",
            "fax_number": "570-281-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARIAN COMMUNITY HOSPITAL",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "570-281-1009",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "450801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007599490021",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan James Maclusky, M.A.
• Caroline Blanche Malinchak, PHYSICAL THERAPY AST
• Anne Molly Malone, P.T.
• Fred J Mancuso Jr., DC
• Niko Manetti, DPT
• Marian Community Hospital
• Marian Community Hospital
• Dana Marie Marmo, MS CRC
• Joseph C Marzzacco, DPM
• Ashley Masters

• Ambulatory Surgical Clinic/Center in Carbondale, PA
• Providers in Carbondale, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.