RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA


Address: 1730 E Broad St Ste 2, Hazleton, PA 18201-5657
Phone: 5704559589

RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA (NPI# 1679115760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679115760
Entity Type Organization
Organization Name RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
Other Organization Name HAZELTON PEDIATRICS
Practice Address 1730 E Broad St Ste 2
Hazleton
PA 18201-5657
Mailing Address 1084 Highway 315 Blvd
Wilkes Barre
PA 18702-7012
Practice Telephone 5704559589
Practice Fax Number 5704558848
Mailing Telephone 5708258741
Mailing Fax Number 5708258990
Enumeration Date 2019-10-10
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Hazelton Pediatrics Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1336241694 Rural Health Corporation of Northeastern Pennsylvania Family Medicine 404 Ridge St, Freeland, PA 18224-1805 2006-09-05

Office Location

Street Address 1730 E BROAD ST STE 2
City HAZLETON
State PA
Zip Code 18201-5657

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992335244 Alfreda A Wujcik Counselor 750 E Broad Street, Hazleton, PA 18201 2020-01-24
1811468127 Omni Health Services, Inc. Peer Specialist 1747 B East Broad Street, Hazleton, PA 18201 2018-12-13
1366956781 Olivia Dworak Pharmacist Route 93 Laurel Mall, Hazleton, PA 18201 2017-11-21
1598283194 Emily Heller Massage Therapist 780 N. Church St., Hazleton, PA 18201 2017-09-03
1053715425 Md Enterprises LLC In Home Supportive Care 261 S Church St, Hazleton, PA 18201 2014-10-14
1154605772 Michael A. Washinsky, Do Family Medicine 1730 E Borad Street, Suite1, Hazleton, PA 18201 2011-09-30
1205158185 Sally Anne Malkin Gilbert Pharmacist Laurel Mall Route 93, Hazleton, PA 18201 2010-02-19
1790017176 Michael John Portonova Chiropractor 943 North Church Street, Hazleton, PA 18201 2010-02-09
1598964330 Anthony John Stachurski Jr. Occupational Therapy Assistant 1000 W. 27th St., Hazleton, PA 18201 2007-07-12
1801017819 Stephen C Celani Dentist 21 East Broad St, Hazelton, PA 18201 2007-05-01
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

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
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
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Competitor

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City HAZLETON
Zip Code 18201

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Dataset Information

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.

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