SCRANTON PRIMARY HEALTH CARE CENTER INC. NPI 1801336458

NPI Information

  • NPI: 1801336458
  • Provider Name: SCRANTON PRIMARY HEALTH CARE CENTER, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • CLIA Number: 39D0981593
  • Address: 425 ALDER ST
    SCRANTON, PA
    ZIP 18505
  • Phone: (570) 955-5524

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NPI Details

SCRANTON PRIMARY HEALTH CARE CENTER, INC. is a federally qualified health center (fqhc) clinic center in Scranton, PA. SCRANTON PRIMARY HEALTH CARE CENTER, INC. NPI is 1801336458. The provider is registered as an organization entity type.

The provider's business location address is:

425 ALDER ST
SCRANTON, PA
ZIP 18505-126
Phone: (570) 955-5524
Fax: (570) 354-2113

The provider's authorized official is Joseph H Hollander .
The authorized official title is Executive Director and has the following contact phone number (570) 344-3517.

The CLIA number assigned to this NPI record is 39D0981593 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2017 and was last updated on 9/30/2020.

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:

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

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

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