Organization Active NPI

Marian Community Hospital

  • General Acute Care Hospital
  • Carbondale, PA
National Provider Identifier
1679579262
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
450801 Issued in PA
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

Updated by the provider on Jan 10, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
007207OtherPAFIRST PRIORITY HEALTH
14906OtherPAGEISINGER HOSPITAL CLAIMS
56119OtherPATHREE RIVERS SPU
1007599490021MedicaidPA
1007599490025MedicaidPA
10075994915MedicaidPA
73816OtherPATHREE RIVERS ED
390095OtherPABLUE CROSS HOSPITAL CLAIM
68688OtherPATHREE RIVERS IP/OP

National Provider Directory

National Provider Directory

Ownership & 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.

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.

Verify at the official NPI Registry.