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DIVINE PROVIDENCE HOSPITAL
NPI 1023110459
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Selinsgrove, PA

Active since September 05, 2006
21 SUSQUEHANNA VALLEY MALL DRIVE, SUITE D, SELINSGROVE, PA 17870(570) 374-5454(570) 326-8601 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Divine Providence Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE PROVIDENCE HOSPITAL (NPI 1023110459) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Selinsgrove, Pennsylvania and active in the NPI registry since September 2006. The organization lists Charles J. Santangelo, Executive Vp Cfo, as its authorized official.

NPPES Registry Identity

NPI1023110459
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
Location Address21 SUSQUEHANNA VALLEY MALL DRIVE, SUITE DSelinsgrove, PA 17870
Mailing Address1205 Grampian Blvd, 2nd FloorWilliamsport, PA 17701-1978 · (570) 326-8676 · Fax (570) 326-8601
Phone(570) 374-5454
Fax(570) 326-8601
Organization SubpartYes
Authorized OfficialCharles J. SantangeloExecutive Vp Cfo · (570) 321-3171
Enumeration DateSeptember 5, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1023110459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in PA · 041001
21 SUSQUEHANNA VALLEY MALL DRIVE, Selinsgrove, PA 17870
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Other Names 1

Other NameDivine Providence Hospital

Other Identifiers 12

Other20012697PA · Amerihealth Hmo Amer Pin
Other70159PA · Geisinger Health Plan Pin
Medicare OSCAR/certification393510PA
Other394048PA · Health America Pin
Other000070PA · Amerihealth Adminstr Pin
Other1066310PA · Keystone Mercy Health Pin
Other393510PA · Blue Cross Pin
Other394048PA · Health Assurance Pin
Medicaid1007563750011PA
Other396871PA · Black Lung Program Pin
Other816867PA · First Priority Health Pin
Other394048PA · Aetna Pin

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLD TRAIL IMAGING, LLC
Radiology (Diagnostic Ultrasound)
21 SUSQUEHANNA VALLEY MALL DRIVE
SELINSGROVE, PA 17870
Snyder County (570) 374-4411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Providence Hospital Of The Sisters Of Christian Charity's NPI number?

The NPI number for Divine Providence Hospital Of The Sisters Of Christian Charity is 1023110459. It was assigned to this organization in the NPPES registry on September 5, 2006. The provider is also known as Divine Providence Hospital.

Where is Divine Providence Hospital Of The Sisters Of Christian Charity located?

Divine Providence Hospital Of The Sisters Of Christian Charity is located at 21 Susquehanna Valley Mall Drive Suite D, Selinsgrove, PA 17870. The listed phone number is (570) 374-5454.

What is Divine Providence Hospital Of The Sisters Of Christian Charity's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Divine Providence Hospital Of The Sisters Of Christian Charity was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.