Organization
RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
Active
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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