| Rural Health Corporation Of Northeastern Pennsylvania | |
|
2795 Sullivans Trl Falls PA 18615-7949 | |
| (570) 704-4117 | |
| (570) 388-2046 |
| Full Name | Rural Health Corporation Of Northeastern Pennsylvania |
|---|---|
| Speciality | Clinic/Center |
| Location | 2795 Sullivans Trl, Falls, Pennsylvania |
| Authorized Official Name and Position | Matthew J Iskra (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5708258741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Corporation Of Northeastern Pennsylvania 276 E End Ctr Wilkes Barre PA 18702-6970 Ph: (570) 825-8741 | Rural Health Corporation Of Northeastern Pennsylvania 2795 Sullivans Trl Falls PA 18615-7949 Ph: (570) 704-4117 |
| NPI Number | 1205938578 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 01/25/2024 |
| Medicare PECOS PAC ID | 1052362662 |
|---|---|
| Medicare Enrollment ID | O20100902000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205938578 | NPI | - | NPPES |
| 1007296090015 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |