NPIMap

Organization Active NPI

Laurel Management Services

Doing business as Occupational Health

  • Occupational Medicine Clinic/Center
  • Wellsboro, PA
National Provider Identifier
1669721197
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
LAUREL MANAGEMENT SERVICES
Doing business as
Occupational Health
Practice address
25 Walnut St
Wellsboro, PA 16901-1515
Phone
(570) 724-0615
NPI assigned
Aug 30, 2012
Last updated
Aug 30, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
LAUREL MANAGEMENT SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Jan Fisher
Title
President and Ceo
Phone
(570) 723-0100

Specialties & licenses 1

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

Addresses

Primary practice location

25 Walnut St
Wellsboro, PA 16901-1515

Mailing address

15 Meade St
Suite U6
Wellsboro, PA 16901-1813
Phone (570) 723-0100

Other names 1

  • Occupational Health Doing business as

National Provider Directory

National Provider Directory
Part of
Laurel Management Services

Locations

15 Meade St
Ste U6
Wellsboro, PA 16901

Practitioners & affiliated clinicians

Practitioners 4

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": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1669721197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MEADE ST",
            "address_2": "SUITE U6",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011813",
            "telephone_number": "570-723-0100",
            "fax_number": "570-724-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WALNUT ST",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011515",
            "telephone_number": "570-724-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL MANAGEMENT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAUREL MANAGEMENT SERVICES",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "570-723-0100"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Occupational Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.