Organization · Type 2 NPI

Schuylkill Medical Center - South Jackson Street

Rehabilitation Hospital Unit · Pottsville, PA

NPI number 1255823845 Active

Practice location

700 E Norwegian St
Pottsville, PA 17901-2710

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Hospital Unit Primary	273Y00000X	421001 (PA)

Rehabilitation Hospital Unit: In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets th…

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NPI record

NPI: 1255823845
Entity type: Organization (Type 2)
Issued: May 31, 2018
Last updated: May 31, 2018
Status: Active

Other names

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Lehigh Valley Hospital - Schuylkill S. Jackson Street · doing business as
Lehigh Valley Hospital - Schuylkill S. Jackson Street · doing business as

Authorized official

Ms. Diane N Boris
Vice President of Finance
(570) 621-5093

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255823845

Schuylkill Medical Center - South Jackson Street's National Provider Identifier is 1255823845, issued on May 31, 2018. The primary taxonomy on file is Rehabilitation Hospital Unit (273Y00000X), and the practice location is in Pottsville, PA. The record was last updated on May 31, 2018.