Mountain City Health & Rehabilitation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

085602 Issued in PA

Legal business name

MOUNTAIN CITY HEALTH & REHABILITATION CENTER

Practice address

1000 W 27TH St
Hazleton, PA 18202-9604

Phone

(856) 813-2000

Fax

(856) 813-2020

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheryl Burke

Title

Accounts Receivable

Phone

(856) 813-2000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861518839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 FELLOWSHIP RD",
            "address_2": "SUITE 360",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543415",
            "telephone_number": "856-813-2000",
            "fax_number": "856-813-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 27TH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029604",
            "telephone_number": "856-813-2000",
            "fax_number": "856-813-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CITY HEALTH & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "856-813-2000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "085602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017458740001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaqoob Mohyuddin, MD
• Laura Monto, RD
• Dominic Anthony Morollo, ACSW LCSW
• Amanda Morris
• Mountain Area Healthcare PC
• MTN City Prosthtics & Orthotics (Russell Steadele)
• Muir OBGYN Associates PC
• Scott Douglas Muir, DO
• Catherine M Mullen-Marcera, M.S. CCC-SLP
• Marybeth Nash, D.M.D.

• Skilled Nursing Facility in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Skilled Nursing Facility 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.