# SCRANTON QUINCY CLINIC COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physicians Health Alliance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346527744
- **Authorized official:** DEBBIE THORN BREWER (DIRECTOR)
- **Authorized official phone:** (877) 892-9813

## Contact information

- **Practice address:** 748 QUINCY AVE, SUITE 2A, SCRANTON, PA 18510-1739
- **Practice address phone:** (570) 961-0851
- **Practice address fax:** (570) 344-4285
- **Mailing address:** PO BOX 689022, FRANKLIN, TN 37068-9022
- **Mailing address phone:** (877) 309-5312
- **Mailing address fax:** (615) 465-2877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 11/14/2011
- **Last updated:** 03/22/2012