Organization
RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
Active
Other names
LAPORTE MEDICAL CENTER, LAPORTE HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J ISKRA MBA (CFO)
(570) 825-8741
Entity
Organization
Contact information
Practice address
217 KING STREET, LAPORTE, PA 18626-0157
(570) 946-5201
Mailing address
276 E END CTR, WILKES BARRE, PA 18702-6970
(570) 946-5201
(570) 825-9990
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731976
MEDICARE PTAN
PA
05
—
=========
—
PA
Enumeration date
01/27/2022
Last updated
10/26/2023
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