Angeline Elizabeth Kirby Memorial Health Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

39D0657582 Issued in PA

Legal business name

ANGELINE ELIZABETH KIRBY MEMORIAL HEALTH CENTER

Practice address

71 N Franklin St
Wilkes Barre, PA 18701-1312

Phone

(570) 822-4278

Fax

(570) 825-9926

NPI assigned

Aug 16, 2005

Organization subpart

No

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

Authorized official

Name

Dr. George Speace, M.D.

Title

Laboratory Director

Phone

(570) 822-4278

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Kirby Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Aqueline Elizabeth Kirby Memorial Health Center Dental Clinic

  • General Practice Dentistry
  • Wilkes Barre, PA
  • NPI 1225254634
  NPD tax ID

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1891787800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 N FRANKLIN ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187011312",
            "telephone_number": "570-822-4278",
            "fax_number": "570-825-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 N FRANKLIN ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187011312",
            "telephone_number": "570-822-4278",
            "fax_number": "570-825-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELINE ELIZABETH KIRBY MEMORIAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "SPEACE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "570-822-4278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "39D0657582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007139380001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anesthesia Associates Inc.
• Angelic Augustin Senior Care Services, LLC
• Angelic Augustin Senior Care Services, LLC
• Angelina Theresa Bucci Eye Surgery Center
• Angelina Theresa Bucci Eye Surgery Center
• Alexandra Angheloiu, MD
• Elizabeth Anne Anglim
• Joseph Anthony Anistranski, M.D.
• Zunaira Navid Ansari
• Elizabeth Anselm

• Clinical Medical Laboratory in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.