Organization Name: | ARA-HAZLETON LLC |
NPI Number: | 1336182740 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN J. MCDONOUGH (COO) |
Mailing Address: | 426 Airport Rd 2 Beltway Commons Hazle Township |
State: | PA US |
Postal Code: | 182023361 |
Phone Number: | 5704500870 |
Fax Number: | 5704500874 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 04/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |