NORTH PENN COMPREHENSIVE HEALTH SERVICES (NPI# 1750461455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750461455 |
| Entity Type | Organization |
| Organization Name | NORTH PENN COMPREHENSIVE HEALTH SERVICES |
| Other Organization Name | LAUREL HEALTH CENTER |
| Practice Address |
416 S Main St Mansfield Laurel Health Center Mansfield PA 16933-1510 |
| Mailing Address |
7 Water St Wellsboro PA 16901-1126 |
| Practice Telephone | 5706622002 |
| Practice Fax Number | 5706622025 |
| Mailing Telephone | 5706621955 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-12-06 |
| Authorized Official Name | RONALD MERYL GILBERT (CFO) |
| Authorized Official Telephone | 5706621955 |
| 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 | 1000011720038 | 05 |
| Other Name | Type Code |
|---|---|
| Laurel Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255529921 | North Penn Comprehensive Health Services | Community Based Residential Treatment Facility, Mental Illness | 651 Saint Michaels Rd, Cogan Station, PA 17728-7706 | 2007-10-09 |
| 1154403038 | North Penn Comprehensive Health Services | Clinic/Center | 6 Riverside Plz, Blossburg Laurel Health Center, Blossburg, PA 16912-1137 | 2006-10-19 |
| 1003913955 | North Penn Comprehensive Health Services | Clinic/Center | 103 Forestview Ave, Elkland, PA 16920-1403 | 2006-09-20 |
| 1346346707 | North Penn Comprehensive Health Services | Home Health | 24 Walnut St, Wellsboro, PA 16901-1526 | 2006-09-15 |
| 1801453980 | North Penn Comprehensive Health Services | Pediatrics | 1b Main St, Wellsboro, PA 16901-1601 | 2019-05-23 |
| 1609433036 | North Penn Comprehensive Health Services | Chiropractor | 40 W Wellsboro St, Mansfield, PA 16933-1411 | 2019-05-21 |
| 1376923896 | North Penn Comprehensive Health Services | Clinic/Center | 114 East Ave, Wellsboro, PA 16901-1737 | 2015-06-01 |
| 1235570417 | North Penn Comprehensive Health Services | Clinic/Center | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 | 2013-07-16 |
| 1083889042 | North Penn Comprehensive Health Services | Clinic/Center | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2008-04-29 |
| 1790974822 | North Penn Comprehensive Health Services | Counselor | 520 Ruah Street, Blossburg, PA 16912 | 2007-10-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH PENN COMPREHENSIVE HEALTH SERVICES | 40 W Wellsboro St, Mansfield, PA 16933-1411 |
| Street Address |
416 S MAIN ST MANSFIELD LAUREL HEALTH CENTER |
| City | MANSFIELD |
| State | PA |
| Zip Code | 16933-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639520760 | Tioga Health Care Providers, Inc | Clinic/Center | 416 S Main St, Suite, Mansfield, PA 16933-1510 | 2016-06-30 |
| 1457700551 | Tioga Health Care Providers, Inc | Clinic/Center | 416 S Main St, Mansfield, PA 16933-1510 | 2016-06-09 |
| 1730329087 | Mallory Hamm | Physical Therapist | 416 S Main St, Mansfield, PA 16933-1510 | 2009-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174937916 | Kyle Ungvarsky | Family Medicine | 416 South Main Street, Mansfield, PA 16933 | 2014-06-19 |
| 1144451121 | Wellspring Community Support Services, Inc. | Clinic/Center | 3rd & St. James Street, St. James Complex #206b, Mansfield, PA 16933 | 2009-08-07 |
| 1417193707 | Roger Mark Stager | Dentist | 17 N Main St., Mansfield, PA 16933 | 2008-12-17 |
| 1477700185 | David Michael August | Psychiatry & Neurology | 103 A St James Place, Mansfield, PA 16933 | 2008-08-25 |
| 1043472525 | Martha Lloyd Crf Atf Trans | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Saint James Pl, Mansfield, PA 16933 | 2008-06-26 |
| 1518161520 | Elite Therapy PC | Physical Therapist | 285 South Main St., Mansfield, PA 16933 | 2007-06-13 |
| 1659591949 | Tioga County Dept of Human Services | Community/Behavioral Health | St James & Third Street, St James Complex Suite 103a, Mansfield, PA 16933 | 2007-04-27 |
| 1487779880 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James & Third St., Mansfield, PA 16933 | 2007-03-21 |
| 1760507586 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James Place Bldg. A, Mansfield, PA 16933 | 2007-03-20 |
| 1497895783 | Christopher David Jones | Physical Therapist | 285 S Main St, Mansfield, PA 16933 | 2007-02-07 |
| Find all providers in zip 16933 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1912904004 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 804 N Highway 5, Mansfield, MO 65704-7301 | 2005-07-05 |
| 1306499314 | Third Street Community Clinic, Inc. | Clinic/Center | 205 W Cook Rd, Mansfield, OH 44907-2405 | 2019-07-18 |
| 1972053452 | Third Street Community Clinic Inc | Clinic/Center | 200 Park Ave W, Mansfield, OH 44902-1608 | 2016-10-10 |
| 1588119598 | Third Street Community Clinic Inc | Clinic/Center | 124 N Linden Rd, Mansfield, OH 44906-2616 | 2016-08-19 |
| 1285942284 | Council for Advancement of Social Service and Education | Clinic/Center | 907 Polk St, Mansfield, LA 71052-2520 | 2010-09-24 |
| 1649599119 | Third Street Community Clinic, Inc. | Clinic/Center | 770 Balgreen Drive, Suite 207, Mansfield, OH 44906-2633 | 2010-05-24 |
| 1548594526 | Third Street Dental Mobile Van | Clinic/Center | 600 W 3rd St, Mansfield, OH 44906-2633 | 2009-09-24 |
| 1336252519 | Third Street Community Clinic, Inc. | Clinic/Center | 600 W. Third Street, Mansfield, OH 44906-2633 | 2006-08-15 |
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| 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.