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SCRANTON QUINCY CLINIC COMPANY LLC NPI 1902183304


NPI Information

NPI: 1902183304
Provider Name: SCRANTON QUINCY CLINIC COMPANY LLC

Doing Business As: PHYSICIANS HEALTH ALLIANCE

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
748 QUINCY AVE
SUITE 1A
SCRANTON, PA
ZIP 18510
Phone: (570) 347-9600
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SCRANTON QUINCY CLINIC COMPANY LLC is a podiatrist in Scranton, PA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SCRANTON QUINCY CLINIC COMPANY LLC NPI is 1902183304. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Physicians Health Alliance.

The provider's business location address is:

748 QUINCY AVE
SUITE 1A
SCRANTON, PA
ZIP 18510-739
Phone: (570) 347-9600
Fax: (570) 342-0681

The provider's authorized official is Debbie Thorn Brewer .
The authorized official title is Director and has the following contact phone number (877) 892-9813.

The enumeration date for this NPI number is 11/14/2011 and was last updated on 3/22/2012.


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
1213ES0103XPodiatristFoot & Ankle SurgeryNo
2213ES0131XPodiatristFoot SurgeryNo
3213E00000XPodiatristYes

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
1233475MEDICARE PINPENNSYLVANIA
2102669377-0002MEDICAIDPENNSYLVANIA

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

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