MID-STATE OCCUPATIONAL HEALTH SERVICES, INC. (NPI# 1659702975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659702975 |
| Entity Type | Organization |
| Organization Name | MID-STATE OCCUPATIONAL HEALTH SERVICES, INC. |
| Practice Address |
410 Glenn Ave Suite 2 Bloomsburg PA 17815-1200 |
| Mailing Address |
2605 Reach Rd Williamsport PA 17701-4392 |
| Practice Telephone | 5703172763 |
| Practice Fax Number | 5703172764 |
| Mailing Telephone | 5703278790 |
| Mailing Fax Number | 5703219504 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | DERRICK J DUFF (PRESIDENT) |
| Authorized Official Telephone | 5703278790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396176616 | Mid-state Occupational Health Services, Inc. | Clinic/Center | 130 Buffalo Rd, Suite 4, Lewisburg, PA 17837-1159 | 2013-12-12 |
| 1134550452 | Mid-state Occupational Health Services, Inc. | Clinic/Center | 150 Mundy St, Mac 1, Wilkes Barre, PA 18702-6830 | 2013-12-12 |
| 1477826618 | Mid-state Occupational Health Services, Inc. | Preventive Medicine | 91 Hospital Dr, Towanda, PA 18848-9702 | 2012-02-20 |
| 1295008431 | Mid-state Occupational Health Services, Inc. | Preventive Medicine | 426 Airport Rd, Hazleton, PA 18202 | 2012-02-20 |
| 1912270158 | Mid-state Occupational Health Services, Inc. | Preventive Medicine | 1000 Meade St, Dunmore, PA 18512-3195 | 2012-02-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MID-STATE OCCUPATIONAL HEALTH SERVICES, INC. | 2605 Reach Rd, Williamsport, PA 17701-4392 |
| Street Address |
410 GLENN AVE SUITE 2 |
| City | BLOOMSBURG |
| State | PA |
| Zip Code | 17815-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448268 | Columbia Montour Home Health Services Vna, Inc. | Home Health | 410 Glenn Ave, Suite 200, Bloomsburg, PA 17815-1200 | 2005-06-24 |
| 1326572363 | Kayla Zambiasi | Registered Nurse | 410 Glenn Ave, Bloomsburg, PA 17815-1200 | 2017-04-17 |
| 1184042350 | Lisa Foster | Registered Nurse | 410 Glenn Ave, Suite 200, Bloomsburg, PA 17815-1200 | 2014-04-03 |
| 1245665967 | Columbia Montour Home Health Svcs., Vna | Home Health | 410 Glenn Ave, Suite 200, Bloomsburg, PA 17815-1200 | 2013-09-12 |
| 1073956272 | Christine L Resele | Registered Nurse | 410 Glenn Ave, Suite200, Bloomsburg, PA 17815-1200 | 2013-04-08 |
| 1487097671 | Christine Marie Hayes | Registered Nurse | 410 Glenn Ave, Suite 200, Bloomsburg, PA 17815-1200 | 2013-04-08 |
| 1871732883 | Anita Lynn Rose | Registered Nurse | 410 Glenn Ave, Suite 200, Bloomsburg, PA 17815-1200 | 2009-02-13 |
| 1447412317 | Donna Rae Pauling | Registered Nurse | 410 Glenn Ave, Suite 200, Bloomsburg, PA 17815-1200 | 2008-07-01 |
| 1295905487 | Kelly Sue Kishbaugh | Physical Therapist | 410 Glenn Ave, Suite 101, Bloomsburg, PA 17815-1200 | 2008-03-04 |
| 1720266521 | Heather Lynn Seigfried | Physical Therapist | 410 Glenn Ave, Bloomsburg, PA 17815-1200 | 2008-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1124457551 | Patricia Marie Archey | Physician Assistant | 93 Avon Ave, Bloomsburg, PA 17815 | 2013-11-06 |
| 1154684561 | Alice Michele Weaver Maczuga | Social Worker | 816 Central Road, Bollmsburg, PA 17815 | 2012-06-20 |
| 1396069332 | Cmsu Behavioral Health and Developmental Services | Community/Behavioral Health | 675 Locust St, Bloomsburg, PA 17815 | 2010-03-19 |
| 1922235829 | Joel Stephen Hamilton | Dentist | 2 Audubon Court, Bloomsburg, PA 17815 | 2009-06-18 |
| 1508011685 | Cindy A Prosseda | Social Worker | 6850 Lowes Road, Bloomsburg, PA 17815 | 2008-11-17 |
| 1881854271 | Francis Joseph Welk | Physical Therapist | 410 Glen Ave, Suite 101 Susquehanna Physical Therapy Associates, Bloomsburg, PA 17815 | 2008-06-10 |
| 1679652390 | John A Scerbo | Dentist | 812 Central Road, Bloomsburg, PA 17815 | 2006-11-03 |
| 1104914811 | Columbia Ancillary Services Inc | Durable Medical Equipment & Medical Supplies | 1141 Ridge Road, Bloomsburg, PA 17815 | 2006-10-10 |
| 1922192681 | Patricia M. Taylor | Speech-Language Pathologist | 6530 Main Street, Bloomsburg, PA 17815 | 2006-10-03 |
| Find all providers in zip 17815 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
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|---|---|---|---|---|
| 1114545977 | Puentes De Salvd | Clinic/Center | 1700 South Street, Philadelphia, PA 19146 | 2020-07-08 |
| 1851890578 | Pow Enterprises, LLC | Clinic/Center | 100 Fleet St Ste 103, Pittsburgh, PA 15220-2928 | 2018-02-08 |
| 1578090577 | Occupational Health Center of The Southwest, P.a. | Clinic/Center | 1480 Manheim Pike, Lancaster, PA 17601-3152 | 2017-05-22 |
| 1659780039 | Meadville Medical Center | Clinic/Center | 11277 Vernon Pl Ste 101, Meadville, PA 16335-3718 | 2014-08-11 |
| 1336579911 | Sentier LLC | Clinic/Center | 179 Forsythia Dr N, Levittown, PA 19056-1935 | 2013-11-19 |
| 1174776876 | Dominion Therapy Services, LLC | Clinic/Center | 122 Crabapple Ln, Ligonier, PA 15658-3602 | 2008-10-28 |
| 1538320270 | St Clair Medical Services | Clinic/Center | 2000 Oxford Driv, Suite 110, Pittsburgh, PA 15102 | 2008-06-24 |
| 1295995298 | Bechtel Bettis, Inc. | Clinic/Center | 814 Pittsburgh Mckeesport Blvd, West Mifflin, PA 15122-2849 | 2008-06-12 |
| 1073731014 | Med Center 100 | Clinic/Center | 625 N. Pottstown Pike, Exton, PA 19341 | 2007-04-23 |
| 1023132867 | Healthmark, Incorporated | Clinic/Center | 1 Crescent Dr., Navy Yard Suite 100, Philadelphia, PA 19112 | 2007-03-19 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMSBURG |
| Zip Code | 17815 |
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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.