NPIMap

Organization Active NPI

Robert Packer Hospital

Doing business as Robert Packer Hospital Acute Rehab

  • Rehabilitation Hospital Unit
  • Towanda, PA
National Provider Identifier
1568055317
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
ROBERT PACKER HOSPITAL
Doing business as
Robert Packer Hospital Acute Rehab
Practice address
91 Hospital Dr
Towanda, PA 18848-9702
Phone
(570) 265-2191
NPI assigned
Feb 12, 2021
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ROBERT PACKER HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Francis M Macafee
Title
VP Cfo Finance
Phone
(570) 887-5985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

91 Hospital Dr
Towanda, PA 18848-9702

Mailing address

91 Hospital Dr
Towanda, PA 18848-9702

Other names 1

  • Robert Packer Hospital Acute Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210521001652 PA Part A Provider - Hospital 8022915180 Practice locations: Towanda, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568055317. Details of each certification follow.

Hospital certification: CCN 39T079

Legal name
ROBERT PACKER HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Apr 13, 1885 in PA
Enrollment address
91 Hospital Dr
Towanda, PA 18848-9702
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Robert Packer HospCCN 39T079 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 2021

National Provider Directory

National Provider Directory
Tax ID family
Robert Packer Hospital11 organizations share this tax ID, including this one
Part of
Robert Packer Hospital

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Wendy Sowle Individual Corporate DirectorDirector, Revenue Cycle MGMT Corpor Feb 1, 2017
Joseph Sawyer Individual Corporate DirectorSVP, President, PA Regional Hospita Nov 6, 2006
Taylor Skerpon Individual Corporate DirectorAvp, Fin Ops (West), Cfo Sep 1, 2024
The Guthrie Clinic Organization, Sayre, PA Corporation, Non-profit Other Feb 1, 2014
Lucia Saggiomo Individual W-2 Managing Employee Aug 4, 2017

Practitioners & affiliated clinicians

Practitioners 2

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 5

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": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1568055317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 HOSPITAL DR",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 HOSPITAL DR",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489702",
            "telephone_number": "570-265-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT PACKER HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT PACKER HOSPITAL",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "MACAFEE",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP CFO FINANCE",
        "authorized_official_telephone_number": "570-887-5985"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Packer Hospital Acute Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towanda, PA

Sources for this page

Verify at the official NPI Registry.