Organization
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Active
Organization
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Active
Other names
Westfield Laurel Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M. VANZILE (CREDENTIALING COORDINATOR)
(570) 662-1945
Entity
Organization
Contact information
Practice address
236 E MAIN ST, WESTFIELD LAUREL HEALTH CENTER, WESTFIELD, PA 16950-1607
(814) 367-5911
(814) 367-2791
Mailing address
6A RIVERSIDE PLZ, BLOSSBURG, PA 16912-1137
(570) 662-1945
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000011720040
—
PA
Enumeration date
10/19/2006
Last updated
11/16/2020
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