| Divine Providence Hospital | |
|
1100 Grampian Blvd Williamsport PA 17701-1909 | |
| (570) 326-8000 | |
| (570) 326-8601 |
| Full Name | Divine Providence Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1100 Grampian Blvd, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Eric D Pohjala (EXECUTIVE VICE PRESIDENT CFO, CPO) |
| Authorized Official Contact | 5703213171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Providence Hospital 1205 Grampian Blvd 2nd Floor Williamsport PA 17701-1978 Ph: (570) 326-8676 | Divine Providence Hospital 1100 Grampian Blvd Williamsport PA 17701-1909 Ph: (570) 326-8000 |
| NPI Number | 1861576993 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 03/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861576993 | NPI | - | NPPES |
| 1007563750014 | Medicaid | PA | |
| 20012697 | Other | PA | AMERIHEALTH HMO AMER PIN |
| 396871 | Other | PA | BLACK LUNG PROGRAM PIN |
| 816867 | Other | PA | FIRST PRIORITY HEALTH PIN |
| 000070 | Other | PA | AMERIHEALTH ADMINSTR PIN |
| 1007563750031 | Medicaid | PA | |
| 1007563750036 | Medicaid | PA | |
| 394048 | Other | PA | AETNA PIN |
| 394048 | Other | PA | HEALTH AMERICA PIN |
| 1007563750034 | Medicaid | PA | |
| 1007563750035 | Medicaid | PA | |
| 70159 | Other | PA | GEISINGER HEALTH PLAN PIN |
| 1007563750033 | Medicaid | PA | |
| 1066310 | Other | PA | KEYSTONE MERCY HEALTH PIN |
| 394048 | Other | PA | BLUE CROSS PIN |
| 394048 | Other | PA | HEALTH ASSURANCE PIN |
Susquehanna Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Warren Ave, Suite 303, Williamsport, PA 17701 Phone: 570-326-8500 Fax: 570-326-8049 | |
Divine Providence Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 Fax: 570-326-8601 | |
White Deer Run Of Williamsport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W 4th St, Williamsport, PA 17701 Phone: 570-322-4836 Fax: 570-322-4769 | |
Geisinger-hm Joint Venture, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1824 E 3rd St, Williamsport, PA 17701 Phone: 570-601-2200 Fax: 570-601-2202 | |
Susquehanna Health Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898 | |
Open Arms Internal Medicine & Pediatrics, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3155 Lycoming Creek Rd, Williamsport, PA 17701 Phone: 570-244-1877 | |
Sps-peck Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Campbell St, Suite 202, Williamsport, PA 17701 Phone: 570-321-2290 Fax: 570-321-2289 |