SUSQUEHANNA COMMUNITY HEALTH AND DENTAL CLINIC, INC (NPI# 1386106680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386106680 |
Entity Type | Organization |
Organization Name | SUSQUEHANNA COMMUNITY HEALTH AND DENTAL CLINIC, INC |
Other Organization Name | RIVER VALLEY PHARMACY |
Practice Address |
471 Hepburn St Williamsport PA 17701-6122 |
Practice Telephone | 5705675400 |
Enumeration Date | 2019-04-04 |
Last Update Date | 2019-11-04 |
Authorized Official Name | MAX HOUSEKNECHT JR. (CFO) |
Authorized Official Telephone | 5705675418 |
Is Organization Subpart | Y |
Parent Organization Name | SUSQUEHANNA COMMUNITY HEALTH AND DENTAL CLINIC, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1024416060004 | 05 |
Other Name | Type Code |
---|---|
River Valley Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790333292 | Susquehanna Community Health and Dental Clinic, Inc | Clinic/Center | 431 Hepburn St, Williamsport, PA 17701-6122 | 2019-08-28 |
1184998361 | Susquehanna Community Health and Dental Clinic, Inc | Clinic/Center | 471 Hepburn St, Williamsport, PA 17701-6122 | 2012-03-06 |
Street Address |
471 HEPBURN ST |
City | WILLIAMSPORT |
State | PA |
Zip Code | 17701-6122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891796389 | Ralph H. Kaiser | Pediatrics | 471 Hepburn St, Williamsport, PA 17701-6122 | 2005-08-09 |
1578177416 | Laura Bierly | Dental Hygienist | 471 Hepburn St, Williamsport, PA 17701-6122 | 2020-09-08 |
1427662378 | Christa Leigh Tempesco | Dental Hygienist | 471 Hepburn St, Williamsport, PA 17701-6122 | 2020-09-08 |
1427606334 | Melinda Margaret Flick | Dental Hygienist | 471 Hepburn St, Williamsport, PA 17701-6122 | 2019-09-04 |
1447808043 | Nicole Kehoe | Dental Hygienist | 471 Hepburn St, Williamsport, PA 17701-6122 | 2019-08-28 |
1619531266 | Lisa Mcclintock | Pharmacist | 471 Hepburn St, Williamsport, PA 17701-6122 | 2019-04-30 |
1730671462 | Sarah Updegraff | Nurse Practitioner | 471 Hepburn St, Williamsport, PA 17701-6122 | 2018-05-30 |
1821588997 | Laura Farr | Dental Hygienist | 471 Hepburn St, Williamsport, PA 17701-6122 | 2018-05-15 |
1972003168 | Marsha C Person | Dental Hygienist | 471 Hepburn St, Williamsport, PA 17701-6122 | 2018-02-14 |
1295246353 | Allison Frymire | Dental Hygienist | 471 Hepburn St, Williamsport, PA 17701-6122 | 2017-10-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
Find all providers in zip 17701 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154493948 | Saved By Grace Inc | Pharmacy | 507 Hepburn St, Williamsport, PA 17701-5004 | 2006-11-15 |
1104915321 | Antietam Health Services | Pharmacy | 307 E Potomac Street, Williamsport, MD 21795-1203 | 2006-10-12 |
1366530057 | Penbec Inc | Pharmacy | 34 N Conococheague St, Williamsport, MD 21795-1004 | 2006-10-10 |
1396765269 | Pharmacpo 2 Inc | Pharmacy | 1009 Washington Blvd, Williamsport, PA 17701-3633 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
Find all providers with the same taxonomy |
City | WILLIAMSPORT |
Zip Code | 17701 |
Please comment or provide details below to improve the information on SUSQUEHANNA COMMUNITY HEALTH AND DENTAL CLINIC, INC.
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.