LITTLE CREEK OUT PATIENT SERVICES LLC (NPI# 1548716145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548716145 |
| Entity Type | Organization |
| Organization Name | LITTLE CREEK OUT PATIENT SERVICES LLC |
| Practice Address |
518 Easton Turnpike Lake Ariel PA 18436 |
| Mailing Address |
Po Box 942 Hamlin PA 18427-0942 |
| Practice Telephone | 5706896068 |
| Practice Fax Number | 5706892744 |
| Mailing Telephone | 5706896068 |
| Mailing Fax Number | 5706892744 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | ANDREW PACE (PROJECT DIRECTOR) |
| Authorized Official Telephone | 5706892644 |
| Authorized Official Credential | CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 647021 | PA | Ambulatory Health Care Facilities |
| Street Address |
518 EASTON TURNPIKE |
| City | LAKE ARIEL |
| State | PA |
| Zip Code | 18436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467993626 | Kelsey Russo | Specialist/Technologist | 2362 Tanglewood Lane, Lake Ariel, PA 18436 | 2017-03-20 |
| 1720460454 | Erin Mattox | Physical Therapy Assistant | 1089 Mustang Road, Lake Ariel, PA 18436 | 2015-06-18 |
| 1033373485 | Katherine Rosalie Schloesser | Dentist | 554 Hamlin Highway, Lake Ariel, PA 18436 | 2008-07-15 |
| 1962676494 | Marcela Blair | Social Worker | 369 Renwood Court, Lake Ariel, PA 18436 | 2008-04-16 |
| 1407048689 | Micro Diagnostics Imaging Inc | Durable Medical Equipment & Medical Supplies | 473 Easton Turnpike, Suite G, Lake Ariel, PA 18436 | 2007-08-13 |
| 1780667097 | Robert J. Morton | Pediatrics | 62 Industrial Park Road, Lake Ariel, PA 18436 | 2005-11-22 |
| 1265414296 | Theresa A Lafranco | Pediatrics | 62 Industrial Park Rd, Lake Ariel, PA 18436 | 2005-11-16 |
| 1295268365 | Sabrina Noelle Cimerol | Student in an Organized Health Care Education/Training Program | 358 Hamlin Hwy, Suite 2, Lake Ariel, PA 18436 | 2017-04-06 |
| 1356632236 | Brian A. Barland | Pharmacist | 639 Hamlin Hwy, Lake Ariel, PA 18436 | 2011-04-26 |
| 1063726255 | Bijan Reza Ahmadzadeh | Dentist | 358 Hamlin Hwy, Suite 2, Lake Ariel, PA 18436-0000 | 2010-07-30 |
| Find all providers in zip 18436 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1811514417 | Care Counseling & Children's Services LLC | Clinic/Center | 872 Pennsylvania St, Whitehall, PA 18052-7968 | 2020-06-30 |
| 1629694880 | Lancaster General Medical Group | Clinic/Center | 2112 Harrisburg Pike Ste 323, Lancaster, PA 17601-2644 | 2020-06-23 |
| 1225653496 | Aeo Pitt | Clinic/Center | 77 Hot Metal St, Pittsburgh, PA 15203-2382 | 2020-06-12 |
| 1174147656 | Paul Witt Do Pllc | Clinic/Center | 59 East Carey Street, Plains, PA 18705-1870 | 2020-06-01 |
| 1306469309 | Everest Pace Center Inc | Clinic/Center | 2602 W 9th St Ste 100, Chester, PA 19013-2089 | 2020-05-26 |
| 1225650930 | The Modern Country Doctor, LLC | Clinic/Center | 23 Industrial Blvd Ste D, Paoli, PA 19301-1601 | 2020-05-15 |
| 1013543099 | Rediclinic of Pa, LLC | Clinic/Center | 5707 Easton Rd, Pipersville, PA 18947-1823 | 2020-03-21 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ARIEL |
| Zip Code | 18436 |
Please comment or provide details below to improve the information on LITTLE CREEK OUT PATIENT SERVICES LLC.
| 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.