DIVINE PROVIDENCE HOSPITAL
NPI 1104851849
Psychiatric Hospital in Williamsport, PA

Active since July 11, 2006
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701(570) 326-8000(570) 326-8601 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Providence Hospital NPPES

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

DIVINE PROVIDENCE HOSPITAL (NPI 1104851849) is a healthcare organization registered as a psychiatric hospital in Williamsport, Pennsylvania and active in the NPI registry since July 2006. The organization lists Eric D. Pohjala, Executive Vice President Cfo, Cpo, as its authorized official.

NPPES Registry Identity

NPI1104851849
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameDIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
Location Address1100 GRAMPIAN BLVDWilliamsport, PA 17701-1909
Mailing Address1205 Grampian Blvd, 2nd FloorWilliamsport, PA 17701-1978 · (570) 326-8676 · Fax (570) 326-8601
Fax(570) 326-8601
Organization SubpartNo
Authorized OfficialEric D. PohjalaExecutive Vice President Cfo, Cpo · (570) 321-3171
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 25, 2016
NPI 1104851849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License Licensed in PA · 041001
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X · License 041001 (PA)
Also ListedClinic/Center · Radiology, MammographyTaxonomy 261QR0206X · License 041001 (PA)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 041001 (PA)
1100 GRAMPIAN BLVD, Williamsport, PA 17701

Other Names 1

Other NameDivine Providence Hospital

Other Identifiers 12

Medicare OSCAR/certification394048PA
Other394048PA · Health America Pin
Medicaid1007563750008PA
Other394048PA · Aetna Pin
Other1066310PA · Keystone Mercy Health Pin
Other20012697PA · Amerihealth Hmo Amer Pin
Other394048PA · Blue Cross Pin
Other394048PA · Health Assurance Pin
Other70159PA · Geisinger Health Plan Pin
Other000070PA · Amerihealth Adminst Pin
Other816867PA · First Priority Health Pin
Other396871PA · Black Lung Program Pin

Other Providers at the Same Location NPPES 20

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

Registered Nurse
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Physician Assistant
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Nurse Practitioner
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Home Health
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Pain Medicine (Pain Medicine)
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Registered Nurse
1100 GRAMPIAN BLVD, 4 SOUTH
WILLIAMSPORT, PA 17701
Plastic Surgery
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Surgery (Hospice and Palliative Medicine)
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701

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 1104851849. It was assigned to this organization in the NPPES registry on July 11, 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 1100 Grampian Blvd, Williamsport, PA 17701. The listed phone number is (570) 326-8000.

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

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

When was this NPI record last updated?

The NPPES record for Divine Providence Hospital Of The Sisters Of Christian Charity was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.