Organization Name: | BARNES KASSON COUNTY HOSPITAL |
NPI Number: | 1962680256 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WARREN S DEWITT (MEDICAL DIRECTOR) |
Mailing Address: | 619 Broad Ave Susquehanna |
State: | PA US |
Postal Code: | 188471615 |
Phone Number: | 5708533995 |
Fax Number: | 5708533728 |
NPI Enumeration Date: | 02/08/2008 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | MD024723E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |