NORTH PENN COMPREHENSIVE HEALTH SERVICES (NPI# 1801453980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801453980 |
| Entity Type | Organization |
| Organization Name | NORTH PENN COMPREHENSIVE HEALTH SERVICES |
| Other Organization Name | LAUREL PEDIATRICS - WELLSBORO |
| Practice Address |
1b Main St Wellsboro PA 16901-1601 |
| Mailing Address |
40 W Wellsboro St Mansfield PA 16933-1411 |
| Practice Telephone | 5707247100 |
| Practice Fax Number | 5707241501 |
| Mailing Telephone | 5706621955 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-08-22 |
| Authorized Official Name | RONALD MERYL GILBERT (CFO) |
| Authorized Official Telephone | 5706621955 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH PENN COMPREHENSIVE HEALTH SERVICES |
| 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 Name | Type Code |
|---|---|
| Laurel Pediatrics - Wellsboro | 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 |
| 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 |
| 1346461381 | North Penn Comprehensive Health Services | Clinic/Center | 105 West Ave, Wellsboro, PA 16901-1358 | 2007-05-01 |
| 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 |
1B MAIN ST |
| City | WELLSBORO |
| State | PA |
| Zip Code | 16901-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871693879 | Ann R Vayansky | Nurse Practitioner | 1b Main St, Wellsboro, PA 16901-1601 | 2006-09-22 |
| 1538314976 | Edith A Condict | Nurse Practitioner | 1b Main St, Wellsboro, PA 16901-1601 | 2008-11-26 |
| 1407034077 | Kathryn S Abadi | Physician Assistant | 1b Main St, Wellsboro, PA 16901-1601 | 2008-02-06 |
| 1336249341 | Barry A Clark | Pediatrics | 1b Main St, Wellsboro, PA 16901-1601 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964940 | Alyssa Lapp | Occupational Therapist | 32 Central Avenue, Wellsboro, PA 16901 | 2019-07-19 |
| 1437701190 | Kari Donnele Root | Occupational Therapist | 36 Central Avenue, Wellsboro, PA 16901 | 2019-07-12 |
| 1205377835 | Brett Long | Physical Therapy Assistant | 37 Central Avenue, Wellsboro, PA 16901 | 2017-03-15 |
| 1487072526 | Mary Caitlin Jones | Physical Therapist | 100 Plaza Ln, Wellsboro, PA 16901 | 2014-04-05 |
| 1144650607 | Amy Chalot | Occupational Therapy Assistant | 1883 Shumway Hill Road, Broad Acres Health and Rehabilitation Center, Wellsboro, PA 16901 | 2013-11-20 |
| 1780844209 | Upmc Wellsboro | Pathology | 32 36 Central Avenue, Pathology, Wellsboro, PA 16901 | 2008-06-10 |
| 1639369606 | Well Adjusted Chiropractic Center PC | Chiropractor | 82 East Avenue, Wellsboro, PA 16901 | 2007-07-26 |
| 1538362991 | John W Eaton | Dentist | 23 Water Street, Wellsboro, PA 16901 | 2007-06-06 |
| 1437210242 | James Michael Stewart | Technician/Technologist | 16 Pearl St, Wellsboro, PA 16901 | 2006-12-13 |
| 1508879560 | Edward Jeffrey Candela | Dentist | 16 Water St, Wellsboro, PA 16901 | 2006-08-14 |
| Find all providers in zip 16901 | ||||
| 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 |
|---|---|---|---|---|
| 1235570417 | North Penn Comprehensive Health Services | Clinic/Center | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 | 2013-07-16 |
| 1043392020 | North Penn Comprehensive Health Services | Clinic/Center | 103 West Ave, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1358 | 2006-10-19 |
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| 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.