RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA NPI 1477655744

NPI Information

RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA is a federally qualified health center (fqhc) clinic center in Edwardsville, PA. RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA NPI is 1477655744. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Valley Medical.

The provider's business location address is:

75 S WYOMING AVE STE 2&3
EDWARDSVILLE, PA
ZIP 18704-103
Phone: (570) 704-4233
Fax: (570) 763-4489

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

The CLIA number assigned to this NPI record is 39D0193297 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 7/2/2020.

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:

Other Identifiers

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

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