Active NPI
Marian Community Hospital
- General Acute Care Hospital
- Carbondale, PA
National Provider Identifier
1679579262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 450801
- Legal business name
- MARIAN COMMUNITY HOSPITAL
- Practice address
- 100 Lincoln Ave
Carbondale, PA 18407-2116 - Phone
- (570) 281-1009
- Fax
- (570) 281-1029
- NPI assigned
- Jun 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nancy Davis
- Title
- Director of Patient Financial Servi
- Phone
- (570) 281-1009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 450801 | PA | Primary |
Addresses
Primary practice location
100 Lincoln Ave
Carbondale, PA 18407-2116
Mailing address
100 Lincoln Ave
Carbondale, PA 18407-2116
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007207 | Other | PA | FIRST PRIORITY HEALTH |
| 14906 | Other | PA | GEISINGER HOSPITAL CLAIMS |
| 56119 | Other | PA | THREE RIVERS SPU |
| 1007599490021 | Medicaid | PA | |
| 1007599490025 | Medicaid | PA | |
| 10075994915 | Medicaid | PA | |
| 73816 | Other | PA | THREE RIVERS ED |
| 390095 | Other | PA | BLUE CROSS HOSPITAL CLAIM |
| 68688 | Other | PA | THREE RIVERS IP/OP |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Ambulatory Surgical Clinic/Center
- Carbondale, PA
- NPI 1407921786
-
- Psychiatric Hospital Unit
- Carbondale, PA
- NPI 1619041795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199923200000",
"number": "1679579262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LINCOLN AVE",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184072116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LINCOLN AVE",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184072116",
"telephone_number": "570-281-1009",
"fax_number": "570-281-1029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIAN COMMUNITY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-28",
"last_updated": "2008-01-10",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "DIRECTOR OF PATIENT FINANCIAL SERVI",
"authorized_official_telephone_number": "570-281-1009",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "PA",
"license": "450801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "007207",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HOSPITAL CLAIMS",
"identifier": "14906",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS SPU",
"identifier": "56119",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007599490021",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007599490025",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10075994915",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS ED",
"identifier": "73816",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS HOSPITAL CLAIM",
"identifier": "390095",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS IP/OP",
"identifier": "68688",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.