NPIMap

Organization Active NPI

Mid-State Occupational Health Services, Inc.

  • Occupational Medicine Clinic/Center
  • Wilkes Barre, PA
National Provider Identifier
1134550452
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
MID-STATE OCCUPATIONAL HEALTH SERVICES, INC.
Practice address
150 Mundy St
Mac 1
Wilkes Barre, PA 18702-6830
Phone
(570) 970-2300
Fax
(570) 970-2323
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Mr. Derrick J Duff
Title
President
Phone
(570) 327-8790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

150 Mundy St
Mac 1
Wilkes Barre, PA 18702-6830

Mailing address

2605 Reach Rd
Williamsport, PA 17701-4392
Phone (570) 327-8790

National Provider Directory

National Provider Directory
Tax ID family
Mid-State Occupational Health Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

150 Mundy St
Ste 1
Wilkes Barre, PA 18702
Phone (570) 824-2225

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1134550452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 REACH RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014392",
            "telephone_number": "570-327-8790",
            "fax_number": "570-321-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MUNDY ST",
            "address_2": "MAC 1",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026830",
            "telephone_number": "570-970-2300",
            "fax_number": "570-970-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-STATE OCCUPATIONAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "DUFF",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-327-8790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.