ANGELRAY FAMILY MEDICAL LLC (NPI# 1952681074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952681074 |
| Entity Type | Organization |
| Organization Name | ANGELRAY FAMILY MEDICAL LLC |
| Practice Address |
215 W Centre St Mahanoy City PA 17948-2505 |
| Practice Telephone | 5705902573 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |
| Authorized Official Name | MISS KRISTIN MARIE O'DONNELL (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 5705902573 |
| Authorized Official Credential | MSN, CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
SP009671 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAQH PROVIDER ID | 11974651 | 01 |
| PA | INDIVIDUAL PROVIDER NPI | 1104094291 | 01 |
| PA | 1021574590001 | 05 |
| Street Address |
215 W CENTRE ST |
| City | MAHANOY CITY |
| State | PA |
| Zip Code | 17948-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689738387 | K P Flynn Inc | Pharmacy | 15 East Center St, Mahanoy City, PA 17948 | 2006-12-20 |
| 1386738482 | Joseph C. Lobichusky | Dentist | 15 South 'b' Street, Mahanoy City, PA 17948 | 2006-10-03 |
| 1780784389 | Gursharan Singh | General Practice | 323 E Center St, Mahanoy City, PA 17948 | 2006-09-24 |
| 1194819292 | Joseph C. Lobichusky, Dds + Associates | Dentist | 15 South 'b' Street, Mahanoy City, PA 17948 | 2006-10-03 |
| 1376669002 | Beverly Ann Martin | Licensed Practical Nurse | 604 W Pine St, Mahanoy City, PA 17948-2410 | 2007-03-22 |
| 1730205451 | Susan Anna Kemler | Nursing Facility/Intermediate Care Facility | 604 W Pine St, Mahanoy City, PA 17948-2410 | 2007-03-22 |
| 1184732174 | Mahanoy Area School District | Local Education Agency (LEA) | 1 Golden Bear Dr, Mahanoy City, PA 17948-2460 | 2006-08-29 |
| 1821545534 | Andrea Marie Caulfield | Social Worker | 1 Golden Bear Dr, Mahanoy City, PA 17948-2460 | 2016-09-10 |
| 1053910232 | Carbon - Schuylkill Community Hospital Inc | Emergency Medicine | 201 W Centre St, Mahanoy City, PA 17948-2505 | 2020-10-20 |
| 1336147131 | Mahanoy City Emergency Medical Inc | Ambulance | 212 W Centre St, Mahanoy City, PA 17948-2506 | 2005-07-14 |
| Find all providers in zip 17948 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1881238988 | Slrmed LLC | Clinic/Center | 781 Easton Rd, Warrington, PA 18976-2019 | 2019-10-31 |
| 1487205167 | Careatc | Clinic/Center | 6340 Flank Dr, Harrisburg, PA 17112-2764 | 2019-09-24 |
| 1770134454 | Careatc | Clinic/Center | 1126 Walnut St Ste B, Lebanon, PA 17042-5939 | 2019-09-24 |
| 1023670189 | Avalon Primary Care, PC | Clinic/Center | 2160 Lincoln Hwy E Ste 1-a4, Lancaster, PA 17602-1150 | 2019-06-28 |
| 1639734213 | Ideal Wellness Family Practice, PC | Clinic/Center | 701 Leon Ave, Palmyra, PA 17078-3554 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
| City | MAHANOY CITY |
| Zip Code | 17948 |
Please comment or provide details below to improve the information on ANGELRAY FAMILY MEDICAL 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.