Organization
CHILDREN'S SERVICE CENTER OF WYOMING VALLEY, INC
Active
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 VIVIAN (CFO)
(570) 825-6425
Entity
Organization
Contact information
Practice address
335 S FRANKLIN ST BLDG A, WILKES BARRE, PA 18702-3808
(570) 301-0924
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007280110160
—
PA
05
—
17106178570160
—
PA
Enumeration date
06/13/2022
Last updated
08/12/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up