SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET TCU
NPI 1629303961
Skilled Nursing Facility in Pottsville, PA

Active since October 05, 2009
420 S JACKSON ST, POTTSVILLE, PA 17901(570) 621-5000(570) 622-8221 Get Directions Write a Review

NPPES record last updated: October 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Schuylkill Medical Center - South Jackson Street Tcu NPPES

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

SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET TCU (NPI 1629303961) is a healthcare organization registered as a skilled nursing facility in Pottsville, Pennsylvania and active in the NPI registry since October 2009. The organization lists John E. Simodejka, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1629303961
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET
Location Address420 S JACKSON STPottsville, PA 17901-3625
Mailing Address420 S Jackson StPottsville, PA 17901-3625 · (570) 621-5000 · Fax (570) 622-8221
Fax(570) 622-8221
Organization SubpartNo
Authorized OfficialJohn E. SimodejkaPresident And Ceo · (570) 621-5000
Enumeration DateOctober 5, 2009
NPI 1629303961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
420 S JACKSON ST, Pottsville, PA 17901

Other Names 1

Other NameSchuylkill Medical Center - South Jackson Street Tcu

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.

Radiology (Diagnostic Radiology)
420 S JACKSON ST
POTTSVILLE, PA 17901
Anesthesiology
420 S JACKSON ST
POTTSVILLE, PA 17901
Radiology (Diagnostic Radiology)
420 S JACKSON ST
POTTSVILLE, PA 17901
Anesthesiology
420 S JACKSON ST
POTTSVILLE, PA 17901
Anesthesiology
420 S JACKSON ST
POTTSVILLE, PA 17901
Nurse Anesthetist, Certified Registered
420 S JACKSON ST
POTTSVILLE, PA 17901
Anesthesiology
420 S JACKSON ST
POTTSVILLE, PA 17901
Psychiatry & Neurology (Geriatric Psychiatry)
420 S JACKSON ST
POTTSVILLE, PA 17901

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 Schuylkill Medical Center - South Jackson Street's NPI number?

The NPI number for Schuylkill Medical Center - South Jackson Street is 1629303961. It was assigned to this organization in the NPPES registry on October 5, 2009. The provider is also known as Schuylkill Medical Center - South Jackson Street Tcu.

Where is Schuylkill Medical Center - South Jackson Street located?

Schuylkill Medical Center - South Jackson Street is located at 420 S Jackson St, Pottsville, PA 17901. The listed phone number is (570) 621-5000.

What is Schuylkill Medical Center - South Jackson Street's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Schuylkill Medical Center - South Jackson Street was last updated on October 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.