Organization
CHILDREN'S SERVICE CENTER OF WYOMING VALLEY, INC
Active
Parent organization
CHILDREN'S SERVICE CENTER OF WYOMING VALLEY INC
Other names
Conyngham Primary Health Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S SERVICE CENTER OF WYOMING VALLEY INC
Authorized official
SHARON PISARCIK (CFO)
(570) 825-6425
Entity
Organization
Contact information
Practice address
335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 825-6425
(570) 762-9013
Mailing address
335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 825-6425
(570) 762-9013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
12/03/2025
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