Organization · Type 2 NPI

River Valley Health

Federally Qualified Health Center (FQHC) · Jersey Shore, PA

NPI number 1174114540 Active

Practice location

259 Allegheny St
Jersey Shore, PA 17740-1422

Fax (570) 666-3074

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Richard A. Beatty, DMDGeneral Practice Dentistry Jersey Shore, PA NPI 1780643130

NPI record

NPI: 1174114540
Entity type: Organization (Type 2)
Issued: Jan 28, 2021
Last updated: Sep 24, 2024
Status: Active

Other names

<unavail>
River Valley Health & Dental Center · doing business as
River Valley Health & Dental Center · doing business as
Susquehanna Community Health & Dental Clinic, Inc. · former legal business name

Authorized official

Max Houseknecht
CFO
(570) 567-5418

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1174114540

River Valley Health's National Provider Identifier is 1174114540, issued on Jan 28, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Jersey Shore, PA. The record was last updated on Sep 24, 2024.