Organization · Type 2 NPI

River Valley Health

Federally Qualified Health Center (FQHC) · Lock Haven, PA

NPI number 1174254262 Active

Practice location

124 E Walnut St Ste 2
Lock Haven, PA 17745-3522

Call (570) 567-5422 Map

Mailing address

471 Hepburn St
Williamsport, PA 17701-6122

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

3 other providers at this address

NPI record

NPI: 1174254262
Entity type: Organization (Type 2)
Issued: Jun 21, 2022
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 and 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.

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About NPI 1174254262

River Valley Health's National Provider Identifier is 1174254262, issued on Jun 21, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lock Haven, PA. The record was last updated on Sep 24, 2024.