Provider Demographics
NPI:1447250709
Name:MERCY HOSPITAL WILKES BARRE
Entity type:Organization
Organization Name:MERCY HOSPITAL WILKES BARRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:H
Authorized Official - Last Name:FRANKO
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:570-348-7074
Mailing Address - Street 1:25 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18765-0999
Mailing Address - Country:US
Mailing Address - Phone:570-348-7055
Mailing Address - Fax:570-348-7696
Practice Address - Street 1:25 CHURCH ST
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18765-0999
Practice Address - Country:US
Practice Address - Phone:570-348-7055
Practice Address - Fax:570-348-7696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007763690002Medicaid
PA1007763690009Medicaid
PA1007763690010Medicaid
PA1007763690012Medicaid
PA1007763690012Medicaid
PA1007763690002Medicaid