| Organization Name: | PECKVILLE HOSPITAL COMPANY LLC |
| NPI Number: | 1639447543 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURIE HOLTSFORD (AUTH OFFICIAL / DIR BO SUP) |
| Mailing Address: | 1400 Main St Peckville |
| State: | PA US |
| Postal Code: | 184522009 |
| Phone Number: | 5703402983 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2011 |
| NPI Last Update Date: | 12/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |