| Organization Name: | ROBERT PACKER HOSPITAL |
| NPI Number: | 1033110580 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MINH DANG (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 1 Guthrie Sq Sayre |
| State: | PA US |
| Postal Code: | 188401625 |
| Phone Number: | 5708886666 |
| Fax Number: | 5708874379 |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 07/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 440601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |