| Organization Name: | MEMORIAL HOSPITAL INC OF TOWANDA PA |
| NPI Number: | 1265485445 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY BAKER (PRESIDENT/CEO) |
| Mailing Address: | 91 Hospital Dr Towanda |
| State: | PA US |
| Postal Code: | 188489702 |
| Phone Number: | 5702652191 |
| Fax Number: | 5702654797 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 09/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 159899 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |