Shamokin Area Community Hospital

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

196501 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

May 24, 2005

Last updated

Feb 22, 2011By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 13

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1528061314",
    "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": "2005-05-24",
        "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": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "PA",
            "license": "196501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007753070010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK ACUTE",
            "identifier": "1516",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS",
            "identifier": "66283",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS",
            "identifier": "74340",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007753070003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "1012710001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1501462",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007753070009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "25714",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS",
            "identifier": "56136",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007753070004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG PROGRA",
            "identifier": "030086400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS",
            "identifier": "56137",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamokin Area Community Hospital
• Shamokin Area Community Hospital
• Shamokin Area Community Hospital
• Shamokin Area Community Hospital
• Shamokin Area Community Hospital
• Shamokin Area Community Hospital
• Shamokin Area School District
• Melanie J Shoffler, OTR/L
• John P. Sidler, MS
• Marisa Singer, D.P.T.

• Rural Acute Care Hospital in Coal Township, PA
• Providers in Coal Township, PA by specialty
• Rural Acute Care Hospital in Pennsylvania

• 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.