Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MAXIS MEDICAL SERVICES
Active
Organization
MAXIS MEDICAL SERVICES
Active
Other names
FAMILY MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARY THERESA VAUTRINOT (CEO)
(570) 281-1315
Entity
Organization
Contact information
Practice address
263 CARBONDALE RD, WAYMART, PA 18472-9113
(570) 488-5544
Mailing address
PO BOX 517, CARBONDALE, PA 18407-0517
(570) 281-1287
(570) 281-1256
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467916
PENNA BLUE SHIELD
PA
Enumeration date
02/06/2007
Last updated
09/27/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers