NPIMap

Organization Active NPI

Wvhcs-Hospital

Doing business as WVHCS-Hospital Transitional Care Unit

  • Skilled Nursing Facility
  • Wilkes Barre, PA
National Provider Identifier
1679501662
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
234502 Issued in PA
Legal business name
WVHCS-HOSPITAL
Doing business as
WVHCS-Hospital Transitional Care Unit
Practice address
575 N River St
Wilkes Barre, PA 18764-0999
Phone
(570) 829-8111
Fax
(570) 552-3030
NPI assigned
Jun 29, 2006
Last updated
Jul 24, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
WVHCS-HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Authorized official

Name
Maggie R Koehler
Title
Sr VP/Cfo
Phone
(570) 552-3023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 234502 PA Primary

Addresses

Primary practice location

575 N River St
Wilkes Barre, PA 18764-0999

Mailing address

575 N River St
Wilkes Barre, PA 18764-0999
Phone (570) 829-8111

Other identifiers 4

IdentifierTypeStateIssuer
IY0034OtherPAHEALTHNET
0299OtherPAFREEDOM BLUE
812545OtherPAFIRST PRIORITY HEALTH TCU
6491500OtherPAAETNA

Other names 1

  • WVHCS-Hospital Transitional Care Unit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wilkes Barre Hospital Company LLC5 organizations share this tax ID, including this one
Part of
Wilkes Barre General Ho

Other organizations with this tax ID 4

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

Locations

4 E Main St
Nanticoke, PA 18634
Phone (570) 258-3939

331 N Washington Ave
Scranton, PA 18503
Phone (570) 343-0862

435 Scranton Carbondale Hwy
Scranton, PA 18508
Phone (570) 343-4334

803 S Main St
Taylor, PA 18517
Phone (570) 562-7917

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1679501662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187640999",
            "telephone_number": "570-829-8111",
            "fax_number": "570-552-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187640999",
            "telephone_number": "570-829-8111",
            "fax_number": "570-552-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WVHCS-HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WVHCS-HOSPITAL",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SR VP/CFO",
        "authorized_official_telephone_number": "570-552-3023"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "234502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "IY0034",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM BLUE",
            "identifier": "0299",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH TCU",
            "identifier": "812545",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6491500",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WVHCS-Hospital Transitional Care Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.