North Penn Comprehensive Health Services
Clinic/Center, Federally Qualified Health Center (FQHC) in Troy, PA. Organization (NPI-2).
NPI number1417536285
StatusActive
Last updated in NPPESMay 3, 2024
Details
- NPI
- 1417536285
- Entity type
- Organization (NPI-2)
- Legal business name
- North Penn Comprehensive Health Services
- Organization subpart
- No
- Enumeration date
- Apr 7, 2021
- Certification date
- May 3, 2024
- Last updated
- May 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
45 Mud Creek RdTroy, PA 16947-9529
Phone 570-297-3746 · Fax 570-297-5127
Mailing address
40 W Wellsboro StMansfield, PA 16933-1411
Phone 570-662-1945
Authorized official
Ronald M Gilbert
Cfo
5706621955
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