Organization
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Active
Parent organization
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Other names
Laurel Pediatrics - Wellsboro
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Authorized official
ANGELA M. VANZILE (CREDENTIALING COORDINATOR)
(570) 662-1945
Entity
Organization
Contact information
Practice address
1B MAIN ST, WELLSBORO, PA 16901-1601
(570) 724-7100
(570) 724-1501
Mailing address
6A RIVERSIDE PLZ, BLOSSBURG, PA 16912-1137
(570) 662-1945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
11/16/2020
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