RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA NPI 1336241694

NPI Information

NPI: 1336241694
Provider Name: RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA

Doing Business As: FREELAND HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
404 RIDGE ST
FREELAND, PA
ZIP 18224
Phone: (570) 704-4232
Get Directions

RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA is a federally qualified health center (fqhc) clinic center in Freeland, PA. RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA NPI is 1336241694. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Freeland Health Center.

The provider's business location address is:

404 RIDGE ST
FREELAND, PA
ZIP 18224-805
Phone: (570) 704-4232
Fax: (570) 636-0985

The provider's authorized official is Matthew J Iskra .
The authorized official title is Cfo and has the following contact phone number (570) 825-8741.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 10/26/2023.

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
1	207Q00000X	Family Medicine				No
2	261QF0400X	Clinic/Center	Federally 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
1	1007296090013	MEDICAID	PENNSYLVANIA

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: 5/5/2024

NPI Synchronization or Removal

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