Organization
SCRANTON PRIMARY HEALTH CARE CENTER, INC.
Active
Organization
SCRANTON PRIMARY HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H HOLLANDER (CEO)
(570) 344-3517
Entity
Organization
Contact information
Practice address
959 WYOMING AVE, SCRANTON, PA 18509-3023
(570) 344-3517
(570) 344-6839
Mailing address
959 WYOMING AVE., SCRANTON, PA 18509-3023
(570) 344-3517
(570) 344-6839
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007288710003
—
PA
Enumeration date
12/14/2005
Last updated
10/01/2020
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