NPIMap

Organization Active NPI

Maternal & Family Health Services Inc

  • Clinic/Center
  • Hazleton, PA
National Provider Identifier
1811210636
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD055164L Issued in PA
Legal business name
MATERNAL & FAMILY HEALTH SERVICES INC
Practice address
10 W Chestnut St
Suite 6
Hazleton, PA 18201-6423
Phone
(570) 459-1805
Fax
(570) 501-1194
NPI assigned
Mar 8, 2010
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Laurie Germino
Title
Vice President Finance & Planning
Phone
(570) 826-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD055164L PA Primary

Addresses

Primary practice location

10 W Chestnut St
Suite 6
Hazleton, PA 18201-6423

Mailing address

15 Public SQ
Suite 600
Wilkes Barre, PA 18701-1702
Phone (570) 826-1777

Other identifiers 6

IdentifierTypeStateIssuer
0015798710009MedicaidPA
0016466420007MedicaidPA
1026262170003MedicaidPA
1025994230002MedicaidPA
1026261910005MedicaidPA
1007678420035MedicaidPA

Other names 1

  • Hazleton Family Planning Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040818000820 PA Part B Supplier - Clinic/Group Practice 3476526377 Receives reassigned benefits from 2 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hazleton, PA; Wilkes Barre, PA; Scranton, PA; Pottsville, PA; Lehighton, PA; East Stroudsburg, PA

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Tax ID family
Schulykill Cnty Fpcpottsvil11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1811210636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PUBLIC SQ",
            "address_2": "SUITE 600",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187011702",
            "telephone_number": "570-826-1777",
            "fax_number": "570-823-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W CHESTNUT ST",
            "address_2": "SUITE 6",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016423",
            "telephone_number": "570-459-1805",
            "fax_number": "570-501-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL & FAMILY HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "GERMINO",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE & PLANNING",
        "authorized_official_telephone_number": "570-826-1777"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MD055164L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015798710009",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016466420007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026262170003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025994230002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026261910005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007678420035",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hazleton Family Planning Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.