North Penn Comprehensive Health Services
Clinic/Center, Federally Qualified Health Center (FQHC) in Laporte, PA. Organization (NPI-2).
NPI number1093520587
StatusActive
Last updated in NPPESFeb 21, 2025
Details
- NPI
- 1093520587
- Entity type
- Organization (NPI-2)
- Legal business name
- North Penn Comprehensive Health Services
- Organization subpart
- No
- Enumeration date
- Feb 11, 2025
- Certification date
- Feb 18, 2025
- Last updated
- Feb 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Sullivan County Laurel Health Center (Doing Business As)
Practice location
217 King StLaporte, PA 18626
Phone 570-946-5201
Mailing address
40 W Wellsboro StMansfield, PA 16933-1411
Phone 570-662-1945
Authorized official
Ronald Meryl Gilbert
Cfo
5708283869
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