Community Medical Center

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

COMMUNITY MEDICAL CENTER

Practice address

1822 Mulberry Street
Scranton, PA 18501-0934

Phone

(570) 558-3500

Fax

(570) 558-3513

NPI assigned

Feb 1, 2006

Organization subpart

Yes

Parent organization

COMMUNITY MEDICAL CENTERAs reported in NPPES

Name

Mrs. Ellen Z Perin

Title

Director of Finance

Phone

(570) 558-3500

Part of

Pathology Comm Med Ctr

• CRNA Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2008.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1679544118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 934",
            "address_2": "1822 MULBERRY STREET",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185010934",
            "telephone_number": "570-558-3500",
            "fax_number": "570-558-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 MULBERRY STREET",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185010934",
            "telephone_number": "570-558-3500",
            "fax_number": "570-558-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY MEDICAL CENTER",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "PERIN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "570-558-3500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007456760028",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Community Medical Center
• Community Medical Center
• Community Medical Center
• Community Medical Center
• Community Medical Center
• Community Medical Center
• Community Medical Center
• Community Medical Center
• Community Medical Center
• Community Medical Center Tcu

• All providers in Scranton, PA
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.