NPIMap

Organization Active NPI

The Carbon-Schuylkill Community Hospital, Inc.

Doing business as St. Luke's Miners Memorial Hosp.

  • Skilled Nursing Facility
  • Coaldale, PA
National Provider Identifier
1497837470
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
036801 Issued in PA
Legal business name
THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.
Doing business as
St. Luke's Miners Memorial Hosp.
Practice address
360 W Ruddle St
Coaldale, PA 18218-1027
Phone
(570) 645-2131
NPI assigned
Oct 19, 2006
Last updated
Oct 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Ms. Andrea T. Rosko
Title
Executive Director, Slpho
Phone
(610) 954-4132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 036801 PA Primary

Addresses

Primary practice location

360 W Ruddle St
Coaldale, PA 18218-1027

Mailing address

360 W Ruddle St
Coaldale, PA 18218-1027
Phone (570) 645-2131

Other identifiers 1

IdentifierTypeStateIssuer
1007454700003MedicaidPA

Other names 1

  • St. Luke's Miners Memorial Hosp. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071101000601 PA Part A Provider - Skilled Nursing Facility 4486562030 Practice locations: Coaldale, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497837470. Details of each certification follow.

Skilled nursing facility certification: CCN 395316

Legal name
THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.
Doing business as
ST LUKES MINERS MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1973
Last certification
Nov 7, 2024
Beds
48
Ownership / control type
Nonprofit Corporation
Multi-facility organization
St Luke's University Health Network
Organization structure
CorporationNon-profit
Incorporated
Jan 26, 2001 in PA
Enrollment address
360 W Ruddle St
Coaldale, PA 18218-1027
Nursing home name
ST LUKE'S REHABILITATION AND NURSING CENTER

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Luke's Rehabilitation and Nursing CenterCCN 395316 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Nov 1, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4844.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0657500St Lukes Hospital Miners Campus360 West Ruddle Street PO Box 67, Coaldale, PA 18218AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Francis J Schell7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard Anderson Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Robert L Wax Individual Corporate Officer Jul 1, 2022
Scott Wolfe Individual Corporate Officer Jul 1, 2022
William M Markson Individual Corporate DirectorMedical Director Jan 1, 2025
Adp of the SNF Feb 25, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1497837470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W RUDDLE ST",
            "city": "COALDALE",
            "state": "PA",
            "postal_code": "182181027",
            "telephone_number": "570-645-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W RUDDLE ST",
            "city": "COALDALE",
            "state": "PA",
            "postal_code": "182181027",
            "telephone_number": "570-645-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "ROSKO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, SLPHO",
        "authorized_official_telephone_number": "610-954-4132",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "036801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007454700003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Miners Memorial Hosp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coaldale, PA

Sources for this page

Verify at the official NPI Registry.