NORTH PENN COMPREHENSIVE HEALTH SERVICES NPI 1912093576

NPI Information

NPI: 1912093576
Provider Name: NORTH PENN COMPREHENSIVE HEALTH SERVICES

Doing Business As: LAUREL HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
7 WATER ST
WELLSBORO, PA
ZIP 16901
Phone: (570) 724-1010
Get Directions

NORTH PENN COMPREHENSIVE HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Wellsboro, PA. NORTH PENN COMPREHENSIVE HEALTH SERVICES NPI is 1912093576. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Laurel Health Center.

The provider's business location address is:

7 WATER ST
WELLSBORO, PA
ZIP 16901-126
Phone: (570) 724-1010
Fax: (570) 724-3970

The provider's authorized official is Ronald M Gilbert .
The authorized official title is Cfo and has the following contact phone number (570) 662-1955.

The CLIA number assigned to this NPI record is 39D2251779 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/4/2006 and was last updated on 12/6/2018.

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	Primary
1	163W00000X	Registered Nurse		No
2	164W00000X	Licensed Practical Nurse		No
3	207Q00000X	Family Medicine		No
4	207R00000X	Internal Medicine		No
5	208000000X	Pediatrics		No
6	208D00000X	General Practice		No
7	363A00000X	Physician Assistant		No
8	363L00000X	Nurse Practitioner		No
9	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

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
1	100001172	MEDICAID	PENNSYLVANIA

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

NPI Synchronization or Removal

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