RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA (NPI# 1336241694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336241694 |
Entity Type | Organization |
Organization Name | RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA |
Other Organization Name | FREELAND HEALTH CENTER |
Practice Address |
404 Ridge St Freeland PA 18224-1805 |
Mailing Address |
1084 Route 315 Wilkes-barre PA 18702-7012 |
Practice Telephone | 5707044232 |
Practice Fax Number | 5706360985 |
Mailing Telephone | 5708258741 |
Mailing Fax Number | 5708258990 |
Enumeration Date | 2006-09-05 |
Last Update Date | 2020-03-06 |
Authorized Official Name | EDWARD MCCARTHY (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 5708258741 |
Is Organization Subpart | Y |
Parent Organization Name | RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1007296090013 | 05 |
Other Name | Type Code |
---|---|
FREELAND HEALTH CENTER | 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 |
1265801112 | Rural Health Corporation of Northeastern Pennsylvania | Clinic/Center | 39 E Jackson St, Wilkes Barre, PA 18701-2709 | 2015-09-22 |
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 |
Street Address |
404 RIDGE ST |
City | FREELAND |
State | PA |
Zip Code | 18224-1805 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376509471 | Roseline Riaz | Family Medicine | 404 Ridge St, Freeland, PA 18224-1805 | 2006-04-26 |
1295351377 | Dixon Kitonyo | Nurse Practitioner | 404 Ridge St, Freeland, PA 18224-1802 | 2020-06-24 |
1902321193 | Alexandra Melendez | Physician Assistant | 404 Ridge St, Freeland, PA 18224 | 2017-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255490421 | Melissa B Della Croce | Dentist | 450 Washington Street, Freeland, PA 18224 | 2006-12-06 |
1952481244 | Joseph Michael Della Croce Jr. | Dentist | 458 Centre St, Freeland, PA 18224 | 2006-10-17 |
1538147889 | A & E Medical Associates PC | Internal Medicine | 415 Centre St, Freeland, PA 18224 | 2006-01-06 |
1306921432 | John J Della Croce | Dentist | 450 Washington St, Freeland, PA 18224 | 2006-10-26 |
1821414582 | Tanya Bell | Physical Therapy Assistant | 1167 Schwabe St, Freeland, PA 18224-1016 | 2014-03-05 |
1982822193 | Northeast Counseling Services | Clinic/Center | 400 Alvin St, Freeland, PA 18224-1201 | 2007-04-23 |
1275829780 | Mark R. Boyle | Physical Therapy Assistant | 427 Maple St, Freeland, PA 18224-1209 | 2011-06-22 |
1710938089 | Robert E Ottaviani | Chiropractor | 727 Walnut St, Freeland, PA 18224-1424 | 2006-05-12 |
1558917856 | Bridget J Defalco | Counselor | 944 Washington St, Freeland, PA 18224-1429 | 2019-08-13 |
1437617610 | Kathleen Clymer | Student in an Organized Health Care Education/Training Program | 1041 Birkbeck St, Freeland, PA 18224-1507 | 2019-03-07 |
Find all providers in zip 18224 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1467063396 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1952 E Allegheny Ave, Philadelphia, PA 19134-3122 | 2020-08-13 |
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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 |
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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.