Organization · Type 2 NPI

Divine Providence Hospital of the Sisters of Christian Charity

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Selinsgrove, PA

NPI number 1023110459 Active

Practice location

21 Susquehanna Valley Mall Drive, Suite D
Selinsgrove, PA 17870

Fax (570) 326-8601

Mailing address

1205 Grampian Blvd, 2nd Floor
Williamsport, PA 17701-1978

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X041001 (PA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1023110459

Divine Providence Hospital of the Sisters of Christian Charity's National Provider Identifier is 1023110459, issued on Sep 5, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Selinsgrove, PA. The record was last updated on Apr 20, 2008.