| Scranton Primary Health Care Center, Inc. | |
|
425 Alder St Scranton PA 18505-4126 | |
| (570) 955-5524 | |
| (570) 354-2113 |
| Full Name | Scranton Primary Health Care Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 425 Alder St, Scranton, Pennsylvania |
| Authorized Official Name and Position | Joseph H Hollander (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5703443517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scranton Primary Health Care Center, Inc. 959 Wyoming Ave Scranton PA 18509-3023 Ph: (570) 344-3517 | Scranton Primary Health Care Center, Inc. 425 Alder St Scranton PA 18505-4126 Ph: (570) 955-5524 |
| NPI Number | 1801336458 |
|---|---|
| Provider Enumeration Date | 03/01/2017 |
| Last Update Date | 09/30/2020 |
| Medicare PECOS PAC ID | 0941206650 |
|---|---|
| Medicare Enrollment ID | O20180109001937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801336458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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