Provider Type Icon

MICHEL GOUBRAN MD P.C. NPI 1336678374


NPI Information

NPI: 1336678374
Provider Name: MICHEL GOUBRAN MD P.C.

Doing Business As: ST. RITA'S MEDICAL CENTER

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 39D2133475

Address:
1831 PITTSTON AVE STE 2
SCRANTON, PA
ZIP 18505
Phone: (570) 507-9517
Get Directions

MICHEL GOUBRAN MD P.C. is an addiction medicine family medicine in Scranton, PA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. MICHEL GOUBRAN MD P.C. NPI is 1336678374. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Rita's Medical Center.

The provider's business location address is:

1831 PITTSTON AVE STE 2
SCRANTON, PA
ZIP 18505-651
Phone: (570) 507-9517
Fax: (570) 507-9520

The provider's authorized official is Michel Goubran .
The authorized official title is President and has the following contact phone number (570) 507-9517.

The CLIA number assigned to this NPI record is 39D2133475 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2017 and was last updated on 7/21/2022.


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
1261QM2500XClinic/CenterMedical SpecialtyMD035965LPENNSYLVANIANo
2207QA0401XFamily MedicineAddiction MedicineMD035965LPENNSYLVANIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.