| NPI | 1336241694 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-05 |
| Last Updated | 2023-10-26 |
| Authorized Official | Matthew Iskra CFO Phone: 5708258741 |
| Mailing Address | 276 E End Ctr Wilkes Barre, PA 18702-6970 United States Phone: (570) 825-8741 | Fax: (570) 825-8990 📍 View Map |
| Primary Practice Address | 404 Ridge St Freeland, PA 18224-1805 United States Phone: (570) 704-4232 | Fax: (570) 636-0985 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | PA | 1007296090013 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | - | - |
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | - | - |
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About NPI 1336241694
Rural Health Corporation Of Northeastern Pennsylvania is an organization registered in the CMS NPPES NPI Registry with NPI number 1336241694. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Freeland, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1336241694?
NPI 1336241694 belongs to Rural Health Corporation Of Northeastern Pennsylvania, a Clinic/Center, Federally Qualified Health Center (FQHC) in Freeland, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1336241694 active?
The current status of NPI 1336241694 in the NPPES registry is Active. The record was last updated on 2023-10-26.
What specialty is NPI 1336241694?
NPI 1336241694 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1336241694?
You can verify NPI 1336241694 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1336241694?
The primary practice address on file for NPI 1336241694 is 404 Ridge St, Freeland, PA 18224-1805. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1336241694 issued?
NPI 1336241694 was first issued (enumerated) on 2006-09-05. The NPPES record was last updated on 2023-10-26.
Practice Location Map
Rural Health Corporation Of Northeastern Pennsylvania is located at 404 Ridge St, Freeland, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Rural Health Corporation Of Northeastern Pennsylvania. All records sourced from the CMS NPPES registry.