Organization Name: | ST JOSEPH REGIONAL HEALTH NETWORK |
NPI Number: | 1255790739 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID LIM (CFO) |
Mailing Address: | 3407 N 5th Street Hwy Reading |
State: | PA US |
Postal Code: | 196052428 |
Phone Number: | 6102088800 |
Fax Number: | 6108981336 |
NPI Enumeration Date: | 02/12/2016 |
NPI Last Update Date: | 02/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |