North Penn Comprehensive Health Services
Organization Active NPI Federally Qualified Health Center (FQHC) · Blossburg, PA
NPI 1689265233 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1689265233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- NORTH PENN COMPREHENSIVE HEALTH SERVICES
- Practice address
- 116 Seymour St
Blossburg, PA 16912-1418 - Phone
- (570) 638-3468
- NPI assigned
- Jan 27, 2021
- Organization subpart
- No
Authorized official
- Name
- Ronald Meryl Gilbert
- Title
- Cfo
- Phone
- (570) 662-1955
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- North Penn Comp Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry |
1223D0001X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
116 Seymour St
Blossburg, PA 16912-1418
Mailing address
40 W Wellsboro St
Mansfield, PA 16933-1411
Phone (570) 662-1945
Other names
- Laurel Dental-Blossburg
Other providers in Blossburg, PA
- Jeffrey Phillip Lemon
- Jessica Lonzi-McVay
- Martha Lloyd Community Residential Facility
- Martha Lloyd CRF Bloss House
- North Penn Comprehensive Health Services
- Ollock Dental Group LLC
- Stephen Joseph Ollock
- Sarah Meagan Poulin
- Southern Tioga School District
- Frank A Thomas
All providers in Blossburg, PA · Federally Qualified Health Center (FQHC) in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.