PHC-Ashland, L.P.

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

270401 Issued in PA

Legal business name

PHC-ASHLAND, L.P.

Practice address

101 Broad St
Ashland, PA 17921-2147

Phone

(570) 875-5979

Fax

(570) 875-5980

NPI assigned

Nov 17, 2005

Organization subpart

No

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

Authorized official

Name

William M. Gracey

Title

Chief Operating Officer

Phone

(615) 372-8500

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Ashland Regional Medical Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 390181

Legal name

ASHLAND REGIONAL MEDICAL CENTER

Certification status

Terminated Voluntary: other reason for withdrawal, Apr 30, 2006

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

May 11, 1999

Beds

79 (70 certified)

Ownership / control type

Other

Most recent change of ownership

Aug 16, 2001 (1 total)

Facility address

101 Broad Street Route 61
Ashland, PA 17921

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760464457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROAD ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179212147",
            "telephone_number": "570-875-5979",
            "fax_number": "570-875-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BROAD ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179212147",
            "telephone_number": "570-875-5979",
            "fax_number": "570-875-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC-ASHLAND, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRACEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "615-372-8500"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "PA",
            "license": "270401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP39018",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "390181",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "212336",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashland Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rural Acute Care Hospital in Ashland, PA
• Providers in Ashland, PA by specialty
• Rural Acute Care Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.