SCRANTON PRIMARY HEALTH CARE CENTER, INC. (NPI# 1801871579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801871579 |
| Entity Type | Organization |
| Organization Name | SCRANTON PRIMARY HEALTH CARE CENTER, INC. |
| Practice Address |
959 Wyoming Ave Scranton PA 18509-3023 |
| Mailing Address |
959 Wyoming Ave. Scranton PA 18509-3023 |
| Practice Telephone | 5703443517 |
| Practice Fax Number | 5703446839 |
| Mailing Telephone | 5703443517 |
| Mailing Fax Number | 5703446839 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | JOSEPH H HOLLANDER (CEO) |
| Authorized Official Telephone | 5703443517 |
| 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 | 1007288710003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801336458 | Scranton Primary Health Care Center, Inc. | Clinic/Center | 425 Alder St, Scranton, PA 18505-4126 | 2017-03-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SCRANTON PRIMARY HEALTH CARE CENTER, INC. | 959 Wyoming Ave, Scranton, PA 18509-3023 |
| Street Address |
959 WYOMING AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18509-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174513287 | Christine Burke | Pediatrics | 959 Wyoming Ave, Scranton, PA 18509-3023 | 2005-10-28 |
| 1104459965 | Jennifer Fouse Manner | Social Worker | 959 Wyoming Ave, Scranton, PA 18509-3023 | 2020-02-19 |
| 1366914657 | Lisa Black-lafferty | Counselor | 959 Wyoming Ave, Scranton, PA 18509-3023 | 2018-12-26 |
| 1386113959 | Erin Halloran Myers | Dental Hygienist | 959 Wyoming Ave, Scranton, PA 18509-3023 | 2018-11-13 |
| 1346738317 | Elizabeth M Frushon | Dental Hygienist | 959 Wyoming Ave, Scranton, PA 18509-3023 | 2018-04-25 |
| 1649726043 | Krysten Duliba | Nurse Practitioner | 959 Wyoming Ave, Scranton, PA 18509-3023 | 2016-08-26 |
| 1306209002 | Michael Matthew Madden | Internal Medicine | 959 Wyoming Ave, Scranton, PA 18509 | 2016-03-30 |
| 1720463789 | Sherri Brown Migliori | Dental Hygienist | 959 Wyoming Ave, Scranton, PA 18509-3023 | 2015-07-20 |
| 1366852238 | John Mcguire | Dentist | 959 Wyoming Ave, Scranton, PA 18509-3023 | 2014-05-01 |
| 1003246851 | Kate Cordisco | Nurse Practitioner | 959 Wyoming Ave, Scranton, PA 18509-3023 | 2013-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700345279 | Michael Joseph Aronica | Physical Medicine & Rehabilitation | 1609 Jefferson Ave, Dunmore, PA 18509 | 2019-03-14 |
| 1467942888 | Mikayla Dynel Attwood | Specialist/Technologist | 2300 Adam's Ave, Scranton, PA 18509 | 2018-05-10 |
| 1497294417 | Brandt Chiropractic and Wellness, Pllc | Chiropractor | 1400 Monroe Ave, Suite 5, Dunmore, PA 18509 | 2017-02-23 |
| 1285088096 | Sara Talarico | Specialist/Technologist | 501 Vine Street, Scranton, PA 18509 | 2016-04-18 |
| 1700256906 | Thadeus Brandt | Chiropractor | 1439 Monroe Ave, Suite 5, Dunmore, PA 18509 | 2015-09-30 |
| 1164762209 | Andrew Joseph Voinski | Dentist | 2326 Boulevard Ave, Scranton, PA 18509 | 2013-02-27 |
| 1386991727 | Paul James Mcdonough Jr. | Counselor | 118 Monahan Avenue, Dunmore, PA 18509 | 2012-08-03 |
| 1639403611 | Primary Care Medical Associates, P.C. | Internal Medicine | 1416 Monroe Avenue, Suite 201, Dunmore, PA 18509 | 2009-09-24 |
| 1316131360 | Marywood University | Emergency Medicine | 2300 Adams Avenue, Oneill Center for Healthy Families, Scranton, PA 18509 | 2007-09-04 |
| 1831214535 | Kurt Paul Moran | Internal Medicine | 10 Greenridge Street, Suite#2, Scranton, PA 18509 | 2007-03-20 |
| Find all providers in zip 18509 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841709623 | Scranton Primary Health Care Center, Inc | Clinic/Center | 406 N Washington Ave, Scranton, PA 18503-1306 | 2017-09-25 |
| 1801336458 | Scranton Primary Health Care Center, Inc. | Clinic/Center | 425 Alder St, Scranton, PA 18505-4126 | 2017-03-01 |
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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.