Provider Type Icon

LAKE REGION URGENT CARE PC NPI 1881916989


NPI Information

NPI: 1881916989
Provider Name: LAKE REGION URGENT CARE, PC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 39D1037109

Address:
103 SPRUCE ST
SUITE 201
HAWLEY, PA
ZIP 18428
Phone: (570) 390-4545
Get Directions

LAKE REGION URGENT CARE, PC is an emergency medicine in Hawley, PA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. LAKE REGION URGENT CARE, PC NPI is 1881916989. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

103 SPRUCE ST
SUITE 201
HAWLEY, PA
ZIP 18428-149
Phone: (570) 390-4545
Fax: (570) 390-4546

The provider's authorized official is Roman W Matlaga .
The authorized official title is Medical Director and has the following contact phone number (570) 390-4545.

The CLIA number assigned to this NPI record is 39D1037109 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2010 and was last updated on 7/13/2011.


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
1207R00000XInternal MedicineNo
2207P00000XEmergency MedicineYes

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.