Sullivan County Action,Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SULLIVAN COUNTY ACTION,INC.

Doing business as

Sullivan County Dental Clinic

Practice address

217 King Street
Laporte, PA 18626

Phone

(570) 946-5101

Fax

(570) 946-4341

NPI assigned

May 3, 2011

Last updated

May 3, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James C Rogers

Title

President

Phone

(570) 946-4107

Specialties & licenses 2

Addresses

Other names 1

• Sullivan County Dental Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1063704500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "LAPORTE",
            "state": "PA",
            "postal_code": "186260001",
            "telephone_number": "570-946-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 KING STREET",
            "city": "LAPORTE",
            "state": "PA",
            "postal_code": "18626",
            "telephone_number": "570-946-5101",
            "fax_number": "570-946-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN COUNTY ACTION,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-946-4107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan County Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Penn Comprehensive Health Services (Sullivan County Laurel Health Center)
• Northern Tier Counseling, Inc
• Amber Julia Pedro, PA-C
• Rural Health Corporation of Northeastern Pennsylvania (Laporte Health Center)
• Samuel Edwin Schrack, D.O.
• Sullivan County School District
• Universal Medical Suppliers Inc (Sullivan Co Med Ctr Pharmacy)

• Dentist in Laporte, PA
• Providers in Laporte, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.