NORTH PENN COMPREHENSIVE HEALTH SERVICES (NPI# 1326148164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326148164 |
| Entity Type | Organization |
| Organization Name | NORTH PENN COMPREHENSIVE HEALTH SERVICES |
| Other Organization Name | LAUREL HEALTH CENTER |
| Practice Address |
32 E Lawrence Rd Lawrenceville Health Center Lawrenceville PA 16929 |
| Mailing Address |
7 Water St Wellsboro PA 16901-1126 |
| Practice Telephone | 5708270125 |
| Practice Fax Number | 5708270129 |
| Mailing Telephone | 5706621955 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2019-05-21 |
| Authorized Official Name | RONALD MERYL GILBERT (CFO) |
| Authorized Official Telephone | 5706621955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000011720039 | 05 |
| Other Name | Type Code |
|---|---|
| Laurel Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255529921 | North Penn Comprehensive Health Services | Community Based Residential Treatment Facility, Mental Illness | 651 Saint Michaels Rd, Cogan Station, PA 17728-7706 | 2007-10-09 |
| 1154403038 | North Penn Comprehensive Health Services | Clinic/Center | 6 Riverside Plz, Blossburg Laurel Health Center, Blossburg, PA 16912-1137 | 2006-10-19 |
| 1003913955 | North Penn Comprehensive Health Services | Clinic/Center | 103 Forestview Ave, Elkland, PA 16920-1403 | 2006-09-20 |
| 1346346707 | North Penn Comprehensive Health Services | Home Health | 24 Walnut St, Wellsboro, PA 16901-1526 | 2006-09-15 |
| 1801453980 | North Penn Comprehensive Health Services | Pediatrics | 1b Main St, Wellsboro, PA 16901-1601 | 2019-05-23 |
| 1609433036 | North Penn Comprehensive Health Services | Chiropractor | 40 W Wellsboro St, Mansfield, PA 16933-1411 | 2019-05-21 |
| 1376923896 | North Penn Comprehensive Health Services | Clinic/Center | 114 East Ave, Wellsboro, PA 16901-1737 | 2015-06-01 |
| 1235570417 | North Penn Comprehensive Health Services | Clinic/Center | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 | 2013-07-16 |
| 1083889042 | North Penn Comprehensive Health Services | Clinic/Center | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2008-04-29 |
| 1790974822 | North Penn Comprehensive Health Services | Counselor | 520 Ruah Street, Blossburg, PA 16912 | 2007-10-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH PENN COMPREHENSIVE HEALTH SERVICES | 40 W Wellsboro St, Mansfield, PA 16933-1411 |
| Street Address |
32 E LAWRENCE RD LAWRENCEVILLE HEALTH CENTER |
| City | LAWRENCEVILLE |
| State | PA |
| Zip Code | 16929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154344257 | Kelly Carr | Nurse Practitioner | 32 E Lawrence Rd, Lawrenceville Laurel Health Center, Lawrenceville, PA 16929-8801 | 2006-07-26 |
| 1396758488 | Phyllis B Scott | Family Medicine | 32 E Lawrence Rd, Lawrenceville Laurel Health Center, Lawrenceville, PA 16929-8801 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356705768 | Mark Adam Theodore Molckovsky | Family Medicine | 32 East Lawrence Road, Lawrenceville, PA 16929 | 2016-04-12 |
| 1891106753 | Victoria Hyde | Massage Therapist | 54 Main St., Lawrenceville, PA 16929 | 2014-05-14 |
| 1326272709 | Kimberly Jo Jones | Chiropractor | 15 Mechanic Street, Lawrenceville, PA 16929 | 2009-05-13 |
| 1710095260 | Alicia Anne Risner-bauman | Dentist | 34 E Lawrence Rd, Lawrenceville, PA 16929-8801 | 2006-08-25 |
| 1902239957 | Jashanjot Singh Bajwa | Dentist | 34 E Lawrence Rd, Tioga Dental Services, Lawrenceville, PA 16929-8801 | 2013-08-14 |
| 1255664819 | Tioga Dental Services | Clinic/Center | 34 E Lawrence Rd, Lawrenceville, PA 16929-8801 | 2009-09-15 |
| 1962455238 | Lawrenceville Firemens Ambulance Association Inc | Ambulance | 9-11 Mechanic St., Lawrenceville, PA 16929-9768 | 2006-05-18 |
| 1417286766 | Northern Tioga Family Chiropractic LLC. | Chiropractor | 15 Mechanic St, Lawrenceville, PA 16929-9770 | 2009-12-16 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1356682959 | Four Corners Primary Care Centers, Inc. | Clinic/Center | 175 Gwinnett Dr, Suite 213, Lawrenceville, GA 30046-8444 | 2013-03-06 |
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| 1467063396 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1952 E Allegheny Ave, Philadelphia, PA 19134-3122 | 2020-08-13 |
| 1326656745 | Keystone Rural Health Center | Clinic/Center | 1030 Fairfield Rd, Gettysburg, PA 17325-7153 | 2020-07-22 |
| 1326656174 | Lancaster Health Center | Clinic/Center | 30 N Ann St, Lancaster, PA 17602-3063 | 2020-07-17 |
| 1275151607 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1717 W Allegheny Ave, Philadelphia, PA 19132-1606 | 2020-07-13 |
| 1538781166 | Hyndman Area Health Center, Inc. | Clinic/Center | 214 College Park Plz Ste 203, Johnstown, PA 15904-2833 | 2020-05-18 |
| 1588285076 | Community Health and Dental Care, Inc | Clinic/Center | 1315 Route 100 North, Barto, PA 19504-8724 | 2020-05-06 |
| 1053946079 | Neighborhood Health Centers of The Lehigh Valley | Clinic/Center | 635 E Broad St, Bethlehem, PA 18018-6332 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 16929 |
Please comment or provide details below to improve the information on NORTH PENN COMPREHENSIVE HEALTH SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.