RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA (NPI# 1265801112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265801112 |
| Entity Type | Organization |
| Organization Name | RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA |
| Other Organization Name | MCKINNEY CLINIC |
| Practice Address |
39 E Jackson St Wilkes Barre PA 18701-2709 |
| Mailing Address |
1084 Highway 315 Blvd Wilkes Barre PA 18702-7012 |
| Practice Telephone | 5708250881 |
| Practice Fax Number | 5708248924 |
| Mailing Telephone | 5708258741 |
| Mailing Fax Number | 5708258990 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | EDWARD MCCARTHY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5708258741 |
| 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 |
| Other Name | Type Code |
|---|---|
| MCKINNEY CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115760 | Rural Health Corporation of Northeastern Pennsylvania | Pediatrics | 1730 E Broad St Ste 2, Hazleton, PA 18201-5657 | 2019-10-10 |
| 1437351640 | Rural Health Corporation of Northeastern Pennsylvania | Dentist | 1084 Route 315, Wilkes-barre, PA 18702-7012 | 2007-06-01 |
| 1790887057 | Rural Health Corporation of Northeastern Pennsylvania | Family Medicine | 26 N Main St, Shickshinny, PA 18655-1302 | 2006-09-05 |
| 1629170980 | Rural Health Corporation of Northeastern Pennsylvania | Family Medicine | 2888 Sr 29 S, Monroe Township, PA 18636-7854 | 2006-09-05 |
| 1205938578 | Rural Health Corporation of Northeastern Pennsylvania | Family Medicine | 2795 Sullivans Trl, Falls, PA 18615-7949 | 2006-09-05 |
| 1871695148 | Rural Health Corporation of Northeastern Pennsylvania | Family Medicine | 75 Pineapple Street, Nuremberg, PA 18241-0670 | 2006-09-05 |
| 1477655744 | Rural Health Corporation of Northeastern Pennsylvania | Pediatrics | 75 S Wyoming Ave Ste 2&3, Edwardsville, PA 18704-3103 | 2006-09-05 |
| 1336241694 | Rural Health Corporation of Northeastern Pennsylvania | Family Medicine | 404 Ridge St, Freeland, PA 18224-1805 | 2006-09-05 |
| Street Address |
39 E JACKSON ST |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18701-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689142283 | Kimberly Ann Grzybowski | Nurse Practitioner | 39 E Jackson St, Wilkes Barre, PA 18701-2709 | 2018-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878836 | Moriah M Teed | Pharmacist | 115 East Northampton St, Wilkes-barre, PA 18701 | 2020-10-12 |
| 1275164055 | Paul Thomas Stanziale | Social Worker | Children's Service Center, 335 S. Franklin St., Wilkes-barre, PA 18701 | 2020-01-30 |
| 1790211175 | Erik David Robertson | Physical Therapist | 4011 Green Pond Road, Bethlhem, PA 18701 | 2017-05-04 |
| 1063895431 | Jennifer L Schell | Nurse Practitioner | 60 Public Sq, Wilkes Barre, PA 18701 | 2015-07-03 |
| 1184051617 | Vincent L. Carolan | Counselor | 67-69 Public Square, Suite 917, Wilkes-barre, PA 18701 | 2013-09-30 |
| 1538592696 | Courtenay Jayne Mcdonough | Nurse Practitioner | 50 Pennsylvania Blvd, Wilkes-barre, PA 18701 | 2013-08-13 |
| 1043656721 | Barbara Lynnette Hoffman | Nurse Practitioner | 110 S. Pennsylvania Ave, Wilkes-barre, PA 18701 | 2013-05-21 |
| 1518232768 | Sharon Anita Wander | Pediatrics | 47 S Washington Street, Wilkes-barre, PA 18701 | 2012-03-20 |
| 1245564780 | Judith Ann Schrepfer | Occupational Therapist | 1 East Street, Bloomsburg, PA 18701 | 2009-10-01 |
| 1841497658 | Nancy M Rodgers | Counselor | 33 East Northhampton St., Wilkes Barre, PA 18701 | 2007-06-27 |
| Find all providers in zip 18701 | ||||
| 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 |
|---|---|---|---|---|
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1508478157 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 2463 Emerald St, Philadelphia, PA 19125-1236 | 2020-08-17 |
| 1255943809 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 3116 Frankford Ave, Philadelphia, PA 19134-3827 | 2020-08-17 |
| 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 | WILKES BARRE |
| Zip Code | 18701 |
Please comment or provide details below to improve the information on RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA.
| 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.