SHAMOKIN DAM HEALTH CENTER NPI 1891867255

NPI Information

  • NPI: 1891867255
  • Provider Name: SHAMOKIN DAM HEALTH CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 3166 N OLD TRAIL
    SHAMOKIN DAM, PA
    ZIP 17876
  • Phone: (570) 743-4333

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NPI Details

SHAMOKIN DAM HEALTH CENTER is a family medicine in Shamokin Dam, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHAMOKIN DAM HEALTH CENTER NPI is 1891867255. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3166 N OLD TRAIL
SHAMOKIN DAM, PA
ZIP 17876
Phone: (570) 743-4333
Fax: (570) 743-6012

The provider's authorized official is Michael J Dunigan .
The authorized official title is President and has the following contact phone number (570) 743-4333.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 8/22/2020.

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
1207Q00000XFamily MedicineMD032484EPENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10011475170006MEDICAIDPENNSYLVANIA
2545802OTHERPENNSYLVANIABLUE SHIELD

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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