NORTH PENN COMPREHENSIVE HEALTH SERVICES (NPI# 1366524241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366524241 |
| Entity Type | Organization |
| Organization Name | NORTH PENN COMPREHENSIVE HEALTH SERVICES |
| Other Organization Name | LAUREL HEALTH CENTER |
| Practice Address |
236 E Main St Westfield Laurel Health Center Westfield PA 16950-1607 |
| Mailing Address |
7 Water St Wellsboro PA 16901-1126 |
| Practice Telephone | 8143675911 |
| Practice Fax Number | 8143672791 |
| Mailing Telephone | 5706621955 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2018-12-06 |
| Authorized Official Name | RONALD MERYL GILBERT JR. (CFO) |
| Authorized Official Telephone | 5706621955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000011720040 | 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 |
236 E MAIN ST WESTFIELD LAUREL HEALTH CENTER |
| City | WESTFIELD |
| State | PA |
| Zip Code | 16950-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851706949 | Lindsay S Michael | Family Medicine | 236 E Main St, Westfield, PA 16950-1607 | 2014-06-26 |
| 1164512224 | Benjamin Louis Konell | Family Medicine | 236 E Main St, Westfield, PA 16950-1607 | 2006-10-12 |
| 1215940390 | Lawrence Ellis Tama | Family Medicine | 236 E Main St, Westfield Laurel Health Center, Westfield, PA 16950-1607 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104373794 | Mckayla Mortimer | Speech-Language Pathologist | 1029 Jemison Rd, Westfield, PA 16950 | 2016-09-01 |
| 1861564106 | Charles Cole Memorial Hospital | Clinic/Center | 222 Church Street, Westfield, PA 16950 | 2006-11-14 |
| 1609365451 | Concern-professional Service for Children, Youth & Families | Clinic/Center | 51 N Fork Rd, Westfield, PA 16950-1420 | 2018-05-08 |
| 1508355355 | Concern-professional Service for Children, Youth & Families | Clinic/Center | 1355 Route 49, Westfield, PA 16950-1459 | 2018-05-08 |
| 1740262518 | Buchanan Brothers Pharmacy Inc | Pharmacy | 122 W Main St, Westfield, PA 16950-1522 | 2005-11-17 |
| 1407220791 | Summit Bhc Westfield, LLC | Substance Abuse Rehabilitation Facility | 355 Church St, Westfield, PA 16950-1523 | 2015-11-24 |
| 1912934019 | Susan J Miller | Family Medicine | 222 Church St, Westfield, PA 16950-1538 | 2006-06-26 |
| 1104848415 | Stephen Marvin Sampson | Dentist | 108 E Main St, Westfield, PA 16950-1605 | 2006-07-24 |
| 1710156716 | Curt K Heitmeyer | Social Worker | 890 Jemison Rd, Westfield, PA 16950-8950 | 2008-02-22 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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.