Organization Name: | JERSEY SHORE HOSPITAL |
NPI Number: | 1366407587 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK A. O'NEILL (SENIOR VICE PRESIDENT/CFO) |
Mailing Address: | 1020 Thompson St Jersey Shore |
State: | PA US |
Postal Code: | 177401729 |
Phone Number: | 5703980100 |
Fax Number: | 5703984412 |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 101401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |