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WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC NPI 1265668164


NPI Information

NPI: 1265668164
Provider Name: WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC

Doing Business As: CHOICES PROGRAM OF WYOMING VALLEY

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
562 WYOMING AVE
KINGSTON, PA
ZIP 18704
Phone: (570) 552-3700
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WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC is a clinic center in Kingston, PA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC NPI is 1265668164. The provider is registered as an organization entity type.
The provider Is Doing Business As Choices Program Of Wyoming Valley.

The provider's business location address is:

562 WYOMING AVE
KINGSTON, PA
ZIP 18704-721
Phone: (570) 552-3700
Fax: (570) 552-3733

The provider's authorized official is Laurie Holtsford .
The authorized official title is Director and has the following contact phone number (615) 465-7466.

The enumeration date for this NPI number is 6/5/2009 and was last updated on 6/5/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center407030PENNSYLVANIAYes

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: 4/28/2024

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