NPIMap

Organization Active NPI

Memorial Hospital Private Care

  • In Home Supportive Care Agency
  • Towanda, PA
National Provider Identifier
1679892087
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MEMORIAL HOSPITAL PRIVATE CARE
Practice address
1 Hospital Dr
Towanda, PA 18848-9710
Phone
(570) 265-2191
NPI assigned
May 25, 2010
Organization subpart
Yes
Parent organization
MEMORIAL HOSPITAL INC OF TOWANDA PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
William Rohrbach
Title
Vice President
Phone
(570) 268-2207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1 Hospital Dr
Towanda, PA 18848-9710

Mailing address

1 Hospital Dr
Towanda, PA 18848-9710
Phone (570) 265-2191

Other identifiers 1

IdentifierTypeStateIssuer
1007713260023MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Emergency Medicine Memo4 organizations share this tax ID, including this one
Part of
Emergency Medicine Memo

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1679892087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489710",
            "telephone_number": "570-265-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489710",
            "telephone_number": "570-265-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL PRIVATE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL INC OF TOWANDA PA",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "ROHRBACH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "570-268-2207"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007713260023",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towanda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.