NORTH PENN COMPREHENSIVE HEALTH SERVICES NPI 1154403038

NPI Information

  • NPI: 1154403038
  • Provider Name: NORTH PENN COMPREHENSIVE HEALTH SERVICES
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: BLOSSBURG LAUREL HEALTH CENTER
  • Address: 6 RIVERSIDE PLZ
    BLOSSBURG LAUREL HEALTH CENTER
    BLOSSBURG, PA
    ZIP 16912
  • Phone: (570) 638-2174

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NPI Details

NORTH PENN COMPREHENSIVE HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Blossburg, PA. NORTH PENN COMPREHENSIVE HEALTH SERVICES NPI is 1154403038. The provider is registered as an organization entity type.
The provider Is Doing Business As Blossburg Laurel Health Center.

The provider's business location address is:

6 RIVERSIDE PLZ
BLOSSBURG LAUREL HEALTH CENTER
BLOSSBURG, PA
ZIP 16912-137
Phone: (570) 638-2174
Fax: (570) 638-3006

The provider's authorized official is Angela M. Vanzile .
The authorized official title is Credentialing Coordinator and has the following contact phone number (570) 662-1982.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 6/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11000011720035MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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