NPIMap

Organization Active NPI

Sunbury Hospital Corporation

Doing business as Sunbury Community Hospital

  • Ambulatory Surgical Clinic/Center
  • Sunbury, PA
National Provider Identifier
1861601098
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
450302 Issued in PA
Legal business name
SUNBURY HOSPITAL CORPORATION
Doing business as
Sunbury Community Hospital
Practice address
350 N 11TH St
Sunbury, PA 17801-1611
Phone
(570) 286-3333
NPI assigned
May 22, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNBURY HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Mr. Gary Newsome
Title
President Group Operations
Phone
(615) 465-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 450302 PA
Ambulatory Surgical Clinic/Center 261QA1903X 450302 PA Primary

Addresses

Primary practice location

350 N 11TH St
Sunbury, PA 17801-1611

Mailing address

PO Box 504236
Saint Louis, MO 63150-0001
Phone (570) 286-3333

Other identifiers 1

IdentifierTypeStateIssuer
101423612003MedicaidPA

Other names 1

  • Sunbury Community Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunbury Hospital Company LLC3 organizations share this tax ID, including this one
Part of
Sunbury Hospital Company LLC

Other organizations with this tax ID 2

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1861601098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504236",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001",
            "telephone_number": "570-286-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N 11TH ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178011611",
            "telephone_number": "570-286-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBURY HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBURY HOSPITAL CORPORATION",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT GROUP OPERATIONS",
        "authorized_official_telephone_number": "615-465-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "450302",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "450302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101423612003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunbury Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.