Organization · Type 2 NPI

Rural Health Corporation of Northeastern Pennsylvania

Federally Qualified Health Center (FQHC) · Nuremberg, PA

NPI number 1871695148 Active

Practice location

75 Pineapple Street
Nuremberg, PA 18241-0670

Call (570) 704-4235 Map

Fax (570) 384-3454

Mailing address

1084 Route 315
Wilkes-Barre, PA 18702-7012

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...

5 other providers at this address

NPI record

NPI: 1871695148
Entity type: Organization (Type 2)
Issued: Sep 5, 2006
Last updated: Mar 6, 2020
Status: Active
Subpart: Yes of Rural Health Corporation of Northeastern Pennsylvania

Other names

<unavail>
Black Creek Health Center · doing business as
Black Creek Health Center · doing business as

Authorized official

Edward McCarthy
Chief Financial Officer
(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 1871695148

Rural Health Corporation of Northeastern Pennsylvania's National Provider Identifier is 1871695148, issued on Sep 5, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Nuremberg, PA. The record was last updated on Mar 6, 2020.