Sunbury Hospital Company LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

450301 Issued in PA

Legal business name

SUNBURY HOSPITAL COMPANY LLC

Practice address

350 N 11TH St
Sunbury, PA 17801-1611

Phone

(570) 286-3333

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

Tara P Richardson

Title

VP Patient Financial Services

Phone

(615) 221-3672

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Sunbury Community Hospital Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Family Practice Center, PC

  • Clinical Medical Laboratory
  • Selinsgrove, PA
  • NPI 1033322466

  Member Of

  NPD member

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1467424820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504236",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631504236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N 11TH ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178011611",
            "telephone_number": "570-286-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBURY HOSPITAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "615-221-3672"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "450301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007458540006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "7390084",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "039624900",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007458540005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1534",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "390084",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "22918",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "240796877",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunbury Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunbury Clinic Company, LLC
• Sunbury Community Hospital
• Sunbury Hospital Company LLC
• Sunbury Hospital Company LLC
• Sunbury Hospital Company LLC
• Sunbury Hospital Corporation
• Sunbury Hospital Corporation
• Susquehanna River Valley Dental Health Clinic
• Susquehanna Valley United Way
• Fred Teichman, MD

• All providers in Sunbury, PA
• General Acute Care Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.