| Monroe-noxen Health Center | |
|
2888 Sr 29 S Monroe Township PA 18636-7854 | |
| (570) 704-4234 | |
| (570) 298-2148 |
| Full Name | Monroe-noxen Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2888 Sr 29 S, Monroe Township, 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 |
|---|---|
| Monroe-noxen Health Center 276 E End Ctr Wilkes Barre PA 18702-6970 Ph: (570) 825-8741 | Monroe-noxen Health Center 2888 Sr 29 S Monroe Township PA 18636-7854 Ph: (570) 704-4234 |
| NPI Number | 1629170980 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 10/26/2023 |
| Medicare PECOS PAC ID | 1052362662 |
|---|---|
| Medicare Enrollment ID | O20100901000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629170980 | NPI | - | NPPES |
| 1007296090011 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |