Organization
GUTHRIE CLINIC LTD
Active
Other names
Guthrie Clinic Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C. ARMSTRONG (CFO)
(570) 887-3090
Entity
Organization
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-2345
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-2345
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
14511501
PA
261QE0800X
Endoscopy Clinic/Center
Primary
14511501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02223696
—
NY
05
—
1007332090165
—
PA
01
—
490005208
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
Enumeration date
05/24/2006
Last updated
06/29/2012
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