| Maternal & Family Health Services, Inc | |
|
640 Madison Ave Scranton PA 18510-1631 | |
| (570) 961-5550 | |
| (570) 961-3844 |
| Full Name | Maternal & Family Health Services, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 640 Madison Ave, Scranton, Pennsylvania |
| Authorized Official Name and Position | Laurie Germino (VICE PRESIDENT OF FINANCE & PLANNIN) |
| Authorized Official Contact | 5708261777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maternal & Family Health Services, Inc 15 Public Sq Suite 600 Wilkes Barre PA 18701-1702 Ph: (570) 826-1777 | Maternal & Family Health Services, Inc 640 Madison Ave Scranton PA 18510-1631 Ph: (570) 961-5550 |
| NPI Number | 1396075891 |
|---|---|
| Provider Enumeration Date | 01/05/2010 |
| Last Update Date | 06/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396075891 | NPI | - | NPPES |
| 1007678420045 | Medicaid | PA | |
| 1030047770005 | Medicaid | PA | |
| 0017358870011 | Medicaid | PA | |
| 1029682400005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD065507L (Pennsylvania) | Primary |
| 208000000X | Pediatrics | MD065507L (Pennsylvania) | Secondary |
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