PA Rte 120 Inpatient Services, LLC
Organization Active NPI Emergency Medicine Physician · Renovo, PA
NPI 1669715660 · NPPES record last updated Jul 23, 2013
Key facts
- NPI
- 1669715660
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- PA RTE 120 INPATIENT SERVICES, LLC
- Practice address
- 1001 Pine St
Renovo, PA 17764-1618 - Phone
- (570) 923-1000
- Fax
- (570) 923-1189
- NPI assigned
- Mar 28, 2013
- Organization subpart
- No
Authorized official
- Name
- Joseph W. Taylor
- Title
- Executive Vice President
- Phone
- (800) 444-7009
National Provider Directory
Locations
1001 Pine St
Renovo, PA 17764
Phone (570) 923-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
1001 Pine St
Renovo, PA 17764-1618
Mailing address
PO Box 37928
Philadelphia, PA 19101-0528
Phone (800) 355-0808
Other providers in Renovo, PA
- Rupert Johnson
- Amanda Mae Jones-Sutliff
- Toni Alice Marcheskie
- Courtney Mason
- N Central PA Emergency Physicians, LLC
- Phoenix Rural Home Health of PA
- Probst Family Practice, LLC
- Demetri Eugene Probst
- Renovo Fire Department Inc
- Renovo Pharmacy Inc.
All providers in Renovo, PA · Emergency Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.