# MID-STATE OCCUPATIONAL HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134550452
- **Authorized official:** MR. DERRICK J DUFF (PRESIDENT)
- **Authorized official phone:** (570) 327-8790

## Contact information

- **Practice address:** 150 MUNDY ST, MAC 1, WILKES BARRE, PA 18702-6830
- **Practice address phone:** (570) 970-2300
- **Practice address fax:** (570) 970-2323
- **Mailing address:** 2605 REACH RD, WILLIAMSPORT, PA 17701-4392
- **Mailing address phone:** (570) 327-8790
- **Mailing address fax:** (570) 321-9504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2013
- **Last updated:** 12/12/2013