Organization
TIOGA HEALTH CARE PROVIDERS, INC
Active
Parent organization
SUSQUEHANNA HEALTH
Other names
Susquehanna Health Medical Plaza at Mansfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUSQUEHANNA HEALTH
Authorized official
RONALD M GILBERT JR. (VP FINANCE)
(570) 723-0603
Entity
Organization
Contact information
Practice address
416 S MAIN ST, SUITE, MANSFIELD, PA 16933-1510
(570) 662-0000
Mailing address
416 S MAIN ST, SUITE, MANSFIELD, PA 16933-1510
(570) 662-0000
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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