| Shickshinny Health Center | |
|
26 N Main St Shickshinny PA 18655-1302 | |
| (570) 704-4230 | |
| (570) 542-2580 |
| Full Name | Shickshinny Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 26 N Main St, Shickshinny, 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 |
|---|---|
| Shickshinny Health Center 276 E End Ctr Wilkes Barre PA 18702-6970 Ph: (570) 825-8741 | Shickshinny Health Center 26 N Main St Shickshinny PA 18655-1302 Ph: (570) 704-4230 |
| NPI Number | 1790887057 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 10/26/2023 |
| Medicare PECOS PAC ID | 1052362662 |
|---|---|
| Medicare Enrollment ID | O20100902000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790887057 | NPI | - | NPPES |
| 1007296090012 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Modern Family Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Bethel Hill Rd, Shickshinny, PA 18655 Phone: 570-864-2888 Fax: 570-864-2866 | |
Neighborhood Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Bethel Hill Rd, Shickshinny, PA 18655 Phone: 570-864-2888 |