NPIMap

Organization Active NPI

North Penn Comprehensive Health Services

Doing business as Westfield Laurel Health Center

  • Federally Qualified Health Center (FQHC)
  • Westfield, PA
National Provider Identifier
1366524241
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Doing business as
Westfield Laurel Health Center
Practice address
236 E Main St
Westfield Laurel Health Center
Westfield, PA 16950-1607
Phone
(814) 367-5911
Fax
(814) 367-2791
NPI assigned
Oct 19, 2006
Last updated
Nov 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Angela M. Vanzile
Title
Credentialing Coordinator
Phone
(570) 662-1945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

236 E Main St
Westfield Laurel Health Center
Westfield, PA 16950-1607

Mailing address

6A Riverside PLZ
Blossburg, PA 16912-1137
Phone (570) 662-1945

Other identifiers 1

IdentifierTypeStateIssuer
1000011720040MedicaidPA

Other names 1

  • Westfield Laurel Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040416000152 PA Part B Supplier - Clinic/Group Practice 0446245880 Receives reassigned benefits from 67 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mansfield, PA; Westfield, PA; Wellsboro, PA; Troy, PA; Towanda, PA; Blossburg, PA; Elkland, PA; Lawrenceville, PA…
O20050516000739 PA Part A Provider - Federally Qualified Health Center (FQHC) 0446245880 Practice locations: Westfield, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366524241. Details of each certification follow.

Federally qualified health center certification: CCN 391849

Legal name
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Doing business as
WESTFIELD LAUREL HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Aug 10, 1972 in PA
Enrollment address
236E Main St
Westfield, PA 16950-1698

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2251776Laurel Health Center - Westfield236 East Main Street, Westfield, PA 16950Provider-performed microscopyFeb 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
North Penn Comp Health14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Scott D Myers Individual Corporate DirectorBoard Member Apr 1, 2025
John Dennis Murray Individual Corporate DirectorBoard Member Jun 1, 2013
Donna R Wilson Individual Corporate DirectorBoard Member Jun 1, 2013
Sean Sember Individual Corporate DirectorBoard Member Sep 22, 2021
James a Nobles Individual W-2 Managing EmployeeChief Executive Officer Jun 1, 2022
Thomas Thompson Individual Corporate OfficerTreasurer Jul 1, 2022
Corporate DirectorBoard Member Jul 1, 2022
Jody Thomas Individual Corporate OfficerVice Chairperson Jul 1, 2019
Corporate DirectorBoard Member Jul 1, 2019
Megan Wells-Williams Individual Corporate DirectorBoard Member Jul 7, 2021
Kelly Irwin Individual Corporate DirectorBoard Member Jul 1, 2023
Ronald M Gilbert Individual Corporate OfficerVP/Cfo Aug 14, 2015 100%
Corporate DirectorVP/Cfo Aug 14, 2015 100%
W-2 Managing EmployeeVP/Cfo Aug 14, 2015 100%
Kimberly Johns Individual Corporate DirectorBoard Member Jul 1, 2022
Kristopher Kaufman Individual Corporate DirectorBoard Member Jul 1, 2022
Jason Krise Individual Corporate OfficerChairman Jul 1, 2021
Corporate DirectorBoard Member Jul 1, 2021

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1366524241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6A RIVERSIDE PLZ",
            "city": "BLOSSBURG",
            "state": "PA",
            "postal_code": "169121137",
            "telephone_number": "570-662-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 E MAIN ST",
            "address_2": "WESTFIELD LAUREL HEALTH CENTER",
            "city": "WESTFIELD",
            "state": "PA",
            "postal_code": "169501607",
            "telephone_number": "814-367-5911",
            "fax_number": "814-367-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PENN COMPREHENSIVE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "VANZILE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "570-662-1945"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000011720040",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westfield Laurel Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westfield, PA

Sources for this page

Verify at the official NPI Registry.