OrganizationActive
Divine Providence Hospital of the Sisters of Christian Charity
NPI 1023110459 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Selinsgrove, PA
Provider details
- NPI number
- 1023110459
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Divine Providence Hospital of the Sisters of Christian Charity
- Organization subpart
- Yes
- Authorized official
- Charles Santangelo, Executive Vp Cfo(570) 321-3171
- License
- 041001 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21 Susquehanna Valley Mall Drive
Suite D
Selinsgrove, PA 17870
Phone: (570) 374-5454
Fax: (570) 326-8601
Street-level locationGet directions
Mailing address
1205 Grampian Blvd
Williamsport, PA 17701-1978
Other names (DBA / former)
- Other name
- Divine Providence Hospital
Registry dates
- Enumerated
- 2006-09-05
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.