North Penn Comprehensive Health Services
Clinic/Center, Federally Qualified Health Center (FQHC) in Wellsboro, PA. Organization (NPI-2).
NPI number1043392020
StatusActive
Last updated in NPPESDec 6, 2018
Details
- NPI
- 1043392020
- Entity type
- Organization (NPI-2)
- Legal business name
- North Penn Comprehensive Health Services
- Organization subpart
- No
- Enumeration date
- Oct 19, 2006
- Last updated
- Dec 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Laurel Health Center (Doing Business As)
Practice location
103 West AveWellsboro Laurel Health Center
Wellsboro, PA 16901-1358
Phone 570-724-1010 · Fax 570-724-3970
Mailing address
7 Water StWellsboro, PA 16901-1126
Phone 570-662-1955
Authorized official
Ronald Meryl Gilbert
Cfo
5706621955
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