Organization · Type 2 NPI

Rural Health Corporation of Northeastern Pennsylvania

Federally Qualified Health Center (FQHC) · Monroe Township, PA

NPI number 1629170980 Active

Practice location

2888 Sr 29 S
Monroe Township, PA 18636-7854

Call (570) 704-4234 Map

Fax (570) 298-2148

Mailing address

276 E End Ctr
Wilkes Barre, PA 18702-6970

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...

4 other providers at this address

NPI record

NPI: 1629170980
Entity type: Organization (Type 2)
Issued: Sep 5, 2006
Last updated: Oct 26, 2023
Status: Active
Subpart: Yes of Rural Health Corporation of Northeastern Pennsylvania

Other names

<unavail>
Monroe-Noxen Health Center · doing business as
Monroe-Noxen Health Center · doing business as

Authorized official

Matthew J Iskra, MBA
CFO
(570) 825-8741

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 1629170980

Rural Health Corporation of Northeastern Pennsylvania's National Provider Identifier is 1629170980, issued on Sep 5, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Monroe Township, PA. The record was last updated on Oct 26, 2023.