Organization
RIVER VALLEY HEALTH
Active
Other names
Susquehanna Community Health and Dental Clinic, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX HOUSEKNECHT JR. (PRESENDENT/CEO)
(570) 567-5400
Entity
Organization
Contact information
Practice address
471 HEPBURN ST, WILLIAMSPORT, PA 17701-6122
(570) 567-5400
(570) 567-5421
Mailing address
471 HEPBURN ST, WILLIAMSPORT, PA 17701-6122
(570) 567-5400
(570) 567-5421
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024416060001
—
PA
05
—
1024416060002
—
PA
Enumeration date
03/06/2012
Last updated
02/12/2025
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