Organization
SCRANTON PRIMARY HEALTH CARE CENTER, INC
Active
Parent organization
SCRANTON PRIMARY HEALTH CARE CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCRANTON PRIMARY HEALTH CARE CENTER, INC
Authorized official
MR. JOSEPH H HOLLANDER (CEO)
(570) 344-3517
Entity
Organization
Contact information
Practice address
406 N WASHINGTON AVE, SCRANTON, PA 18503-1306
(570) 344-9684
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
—
1007288710010
—
PA
Enumeration date
09/25/2017
Last updated
10/01/2020
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