| Family Service Association Of Northeastern Pennsylvania | |
|
31 West Market Street Wilkes Barre PA 18701 | |
| (570) 823-5144 | |
| (570) 829-5054 |
| Full Name | Family Service Association Of Northeastern Pennsylvania |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 31 West Market Street, Wilkes Barre, Pennsylvania |
| Authorized Official Name and Position | Janyne Gurnari (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5708235144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Association Of Northeastern Pennsylvania 31 West Market Street Wilkes Barre PA 18701 Ph: (570) 823-5144 | Family Service Association Of Northeastern Pennsylvania 31 West Market Street Wilkes Barre PA 18701 Ph: (570) 823-5144 |
| NPI Number | 1164579298 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 08/07/2015 |
| Medicare PECOS PAC ID | 1355389180 |
|---|---|
| Medicare Enrollment ID | O20050421000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164579298 | NPI | - | NPPES |
| 0009186950003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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