Luzerne Wyoming County Mh Center #1 in Kingston - Clinic/center
Luzerne Wyoming County Mh Center #1 - NPI 1053432443
Luzerne Wyoming County Mh Center #1 is a Clinic/center in Kingston, Pennsylvania. Luzerne Wyoming County Mh Center #1 practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Luzerne Wyoming County Mh Center #1 is 1053432443. The last update date is 2020-08-22.
Luzerne Wyoming County Mh Center #1's current location address is 562 Wyoming Ave, Kingston, Pennsylvania. You can contact this provider via phone number 5705523900 and fax number 5705523907. The mailing address for Luzerne Wyoming County Mh Center #1 is 562 Wyoming Ave, Kingston, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Luzerne Wyoming County Mh Center #1 |
|---|---|
| Address | 562 Wyoming Ave, Kingston, Pennsylvania |
| Phone Number | 5705523900 |
| Fax Number | 5705523907 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Knecht H Joseph |
| Telephone Number | 5705523900 |
NPI Number Detail
| NPI Number | 1053432443 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 562 Wyoming Ave |
|---|---|
| City | Kingston |
| State | Pennsylvania (PA) |
| Post Code | 187043721 |
| Phone Number | 5705523900 |
| Fax Number | 5705523907 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100002080-0053 | PA | -- |
Post Comment/ Review Below
What is the Luzerne Wyoming County Mh Center #1's 1053432443?
The Luzerne Wyoming County Mh Center #1's NPI (National Provider Identifier) Number is 1053432443. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Luzerne Wyoming County Mh Center #1's physical address?
The Luzerne Wyoming County Mh Center #1 is physically located at 562 Wyoming Ave, in the city of Kingston, PA, with the postal code 187043721.
What is Luzerne Wyoming County Mh Center #1's specialized field of practice, and what is the corresponding taxonomy classification code?
The Luzerne Wyoming County Mh Center #1's area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053432443 to Luzerne Wyoming County Mh Center #1?
The Luzerne Wyoming County Mh Center #1 received its 1053432443 assignment from the Centers for Medicare & Medicaid Services on 2007-04-03.
As of what date was the information regarding Luzerne Wyoming County Mh Center #1, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Luzerne Wyoming County Mh Center #1, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.