Organization · Type 2 NPI

North Penn Comprehensive Health Services

Federally Qualified Health Center (FQHC) · Wellsboro, PA

NPI number 1801453980 Active

Practice location

1B Main St
Wellsboro, PA 16901-1601

Call (570) 724-7100 Map

Fax (570) 724-1501

Mailing address

6A Riverside Plz
Blossburg, PA 16912-1137

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician	208000000X	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

Other federally qualified health center (fqhc) providers in Wellsboro

North Penn Comprehensive Health ServicesFederally Qualified Health Center (FQHC) Wellsboro, PA NPI 1043392020
North Penn Comprehensive Health ServicesFederally Qualified Health Center (FQHC) Wellsboro, PA NPI 1235570417
North Penn Comprehensive Health ServicesFederally Qualified Health Center (FQHC) Wellsboro, PA NPI 1912093576

See all in Wellsboro →

NPI record

NPI: 1801453980
Entity type: Organization (Type 2)
Issued: May 23, 2019
Last updated: Nov 16, 2020
Status: Active
Subpart: Yes of North Penn Comprehensive Health Services

Other names

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Laurel Pediatrics - Wellsboro · doing business as
Laurel Pediatrics - Wellsboro · doing business as

Authorized official

Angela M. Vanzile
Credentialing Coordinator
(570) 662-1945

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 1801453980

North Penn Comprehensive Health Services's National Provider Identifier is 1801453980, issued on May 23, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Wellsboro, PA. The record was last updated on Nov 16, 2020.