| Organization Name: | DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY |
| NPI Number: | 1033394564 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES J SANTANGELO (EXECUTIVE VP CFO) |
| Mailing Address: | 471 Hepburn St Williamsport |
| State: | PA US |
| Postal Code: | 177016122 |
| Phone Number: | 5705675400 |
| Fax Number: | 5703268601 |
| NPI Enumeration Date: | 01/03/2008 |
| NPI Last Update Date: | 01/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | 041001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |