| |
206 E Brown St East Stroudsburg PA 18301-3006 | |
(570) 420-4923 | |
Not Available |
Full Name | |
---|---|
Speciality | General Acute Care Hospital |
Location | 206 E Brown St, East Stroudsburg, Pennsylvania |
Authorized Official Name and Position | Thomas Marchozzi (EXECUTIVE VP & CFO) |
Authorized Official Contact | 4848623943 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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206 E Brown St East Stroudsburg PA 18301-3006 Ph: () - | 206 E Brown St East Stroudsburg PA 18301-3006 Ph: (570) 420-4923 |
NPI Number | 1568459436 |
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Provider Enumeration Date | 10/05/2005 |
Last Update Date | 01/09/2025 |
Certification Date | 01/09/2025 |
Medicare PECOS PAC ID | 8224934773 |
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Medicare Enrollment ID | O20080114000208 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568459436 | NPI | - | NPPES |
390201 | Other | PA | BLUE CROSS |
25761 | Other | PA | GEISINGER HEALTH PLAN |
1007723970014 | Medicaid | PA | |
1007723970024 | Medicaid | PA | |
64492 | Other | PA | MED PLUS(THREE RIVERS HP) |
1007723970013 | Medicaid | PA | |
0001455 | Other | PA | AETNA |
1007723970002 | Medicaid | PA | |
1007723970001 | Medicaid | PA | |
39S201 | Other | PA | PSYCH |
800053 | Other | PA | FIRST PRIORITY HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
282N00000X | General Acute Care Hospital | 072001 (Pennsylvania) | Primary |
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