Organization · Type 2 NPI

Wilkes Barre Behavioral Hospital Company LLC

Federally Qualified Health Center (FQHC) · Kingston, PA

NPI number 1073842936 Active

Practice location

562 Wyoming Ave
Kingston, PA 18704-3721

Fax (570) 552-3733

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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About NPI 1073842936

Wilkes Barre Behavioral Hospital Company LLC's National Provider Identifier is 1073842936, issued on Dec 23, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Kingston, PA. The record was last updated on Dec 23, 2009.