Clinton Hospital Corporation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

122201 Issued in PA

Legal business name

CLINTON HOSPITAL CORPORATION

Practice address

24 Cree Dr
Lock Haven, PA 17745-2639

Phone

(570) 893-5043

Fax

(570) 893-5126

NPI assigned

Mar 7, 2014

Organization subpart

No

Name

Tara P Richardson

Title

Authorized Official

Phone

(615) 221-3672

• Haven Center for Women's Health Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2016.

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1700202249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "570-893-5043",
            "fax_number": "570-893-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CREE DR",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452639",
            "telephone_number": "570-893-5043",
            "fax_number": "570-893-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-221-3672"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "PA",
            "license": "122201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007550910020",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Center for Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinton County Community Connections Inc
• Clinton Hospital Corporation
• Clinton Hospital Corporation
• Clinton Hospital Corporation
• Clinton Hospital Corporation
• Clinton Hospital Corporation
• Clinton Hospital Corporation
• Clinton Hospital Corporation
• Clinton Hospital Corporation
• Mark Allen Clukey, D.C.

• All providers in Lock Haven, PA
• Rural Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.