Organization Active NPI

Monroe County Family Health Center

  • Dentist
  • East Stroudsburg, PA
National Provider Identifier
1861750903
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MONROE COUNTY FAMILY HEALTH CENTER
Practice address
175 E Brown St
Suite 114
East Stroudsburg, PA 18301-3098
Phone
(570) 476-3506
Fax
(570) 420-2408
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Sherry Roth
Title
Executive Director
Phone
(570) 476-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

175 E Brown St
Suite 114
East Stroudsburg, PA 18301-3098

Mailing address

PO Box 824279
Philadelphia, PA 19182-4279
Phone (570) 476-3141

Other names 1

  • Monroe County Family HC - Valerie M. Hodge Memorial Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

175 E Brown St
Ste 114
East Stroudsburg, PA 18301
Phone (570) 476-3506

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1861750903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824279",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191824279",
            "telephone_number": "570-476-3141",
            "fax_number": "570-421-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E BROWN ST",
            "address_2": "SUITE 114",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013098",
            "telephone_number": "570-476-3506",
            "fax_number": "570-420-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE COUNTY FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-476-3141"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe County Family HC - Valerie M. Hodge Memorial Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.