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LUZERNE WYOMING COUNTY MENTAL HEALTH CENTER #1 NPI 1861425159


NPI Information

NPI: 1861425159
Provider Name: LUZERNE WYOMING COUNTY MENTAL HEALTH CENTER #1

Doing Business As: BEHAVIORAL HEALTH SERVICES OF WYOMING VALLEY

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
562 WYOMING AVE
KINGSTON, PA
ZIP 18704
Phone: (570) 552-3900
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LUZERNE WYOMING COUNTY MENTAL HEALTH CENTER #1 is a psychiatric hospital in Kingston, PA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. LUZERNE WYOMING COUNTY MENTAL HEALTH CENTER #1 NPI is 1861425159. The provider is registered as an organization entity type.
The provider Is Doing Business As Behavioral Health Services Of Wyoming Valley.

The provider's business location address is:

562 WYOMING AVE
KINGSTON, PA
ZIP 18704-721
Phone: (570) 552-3900
Fax: (570) 552-3907

The provider's authorized official is Joseph H Knecht .
The authorized official title is Ceo and has the following contact phone number (570) 552-3900.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 10/25/2007.


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
1283Q00000XPsychiatric Hospital238650PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1394039MEDICARE OSCAR/CERTIFICATION
21000020800044MEDICAIDPENNSYLVANIA

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

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.