| Rural Health Corporation Of Northeastern Pennsylvania | |
|
90 E Union St Wilkes Barre PA 18701-3210 | |
| (570) 825-0881 | |
| (570) 824-8924 |
| Full Name | Rural Health Corporation Of Northeastern Pennsylvania |
|---|---|
| Speciality | Clinic/Center |
| Location | 90 E Union St, Wilkes Barre, Pennsylvania |
| Authorized Official Name and Position | Matthew J Iskra (CFO) |
| 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 90 E Union St Wilkes Barre PA 18701-3210 Ph: (570) 825-0881 |
| NPI Number | 1265801112 |
|---|---|
| Provider Enumeration Date | 09/22/2015 |
| Last Update Date | 01/25/2024 |
| Medicare PECOS PAC ID | 1052362662 |
|---|---|
| Medicare Enrollment ID | O20050201000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265801112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Gunnar Kosek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437119716 PECOS PAC ID: 8325943384 Enrollment ID: I20031203000322 |
| Provider Name | Samuel E Schrack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114926920 PECOS PAC ID: 8426075995 Enrollment ID: I20051025000386 |
| Provider Name | Gregg J Novak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497956411 PECOS PAC ID: 0244339232 Enrollment ID: I20070615000025 |
| Provider Name | Jurgen H. Straub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063679108 PECOS PAC ID: 3173679982 Enrollment ID: I20090921000276 |
| Provider Name | George D Yurko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154404291 PECOS PAC ID: 7810036514 Enrollment ID: I20091209000029 |
| Provider Name | Mary Elizabeth J Sokach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932285160 PECOS PAC ID: 6709900087 Enrollment ID: I20100824000934 |
| Provider Name | Danielle L Spadafora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699215889 PECOS PAC ID: 7214204874 Enrollment ID: I20170602000087 |
| Provider Name | Chaya Shuchat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891046348 PECOS PAC ID: 1850632852 Enrollment ID: I20190401000083 |
| Provider Name | Dixon K Kitonyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295351377 PECOS PAC ID: 6608283635 Enrollment ID: I20210318001418 |
| Provider Name | Jessica Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316572266 PECOS PAC ID: 4082002118 Enrollment ID: I20211022000939 |
| Provider Name | Kimberly Ann Grzybowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689142283 PECOS PAC ID: 2264822691 Enrollment ID: I20211129002114 |
| Provider Name | Sarah Jayne Daywood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154081933 PECOS PAC ID: 8426440538 Enrollment ID: I20220124001000 |
| Provider Name | Jessica Gabrielle Neare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619628484 PECOS PAC ID: 5193118503 Enrollment ID: I20220208000853 |
| Provider Name | Hannah Lee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144004615 PECOS PAC ID: 4486007861 Enrollment ID: I20240201002398 |
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Geisinger Wyoming Valley Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-826-7300 | |
Wilkes Barre General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111 | |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 166 Hanover St, Wilkes Barre, PA 18702 Phone: 570-808-8780 | |
Geisinger Clinc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Baltimore Drive, Wilkes Barre, PA 18711 Phone: 570-808-6400 |