Organization
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Active
Other names
Laurel Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD M GILBERT JR. (CFO)
(570) 662-1955
Entity
Organization
Contact information
Practice address
7 WATER ST, WELLSBORO, PA 16901-1126
(570) 724-1010
(570) 724-3970
Mailing address
7 WATER ST, WELLSBORO, PA 16901-1126
(570) 662-1955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001172
—
PA
Enumeration date
10/04/2006
Last updated
12/06/2018
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