institution
Luzerne Wyoming County Mh Center #1
Federally Qualified Health Center (FQHC) in Kingston, Pennsylvania
NPI 1952422354

Luzerne Wyoming County Mh Center #1 is a Federally Qualified Health Center (FQHC) based in Kingston, PA and is specialized in Federally Qualified Health Center (FQHC). Luzerne Wyoming County Mh Center #1 practices in Kingston, PA. The NPI Number for Luzerne Wyoming County Mh Center #1 is 1952422354 and holds a License No. (Pennsylvania).

The current practice location address for Luzerne Wyoming County Mh Center #1 is 562 Wyoming Ave, Kingston, PA and can be reached out via phone at 570-552-3740 and via fax at 570-552-3743.

Location: 562 Wyoming Ave, Kingston, PA, 18704-3721
institution
Provider Profile Details
NPI Number
1952422354
Provider Name
Luzerne Wyoming County Mh Center #1
Credential
Provider Entity Type
Organization
Address
562 Wyoming Ave, Kingston, PA, 18704-3721
Phone Number
570-552-3740
Fax Number
570-552-3743
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100002080-0052 05 PA
institution
Provider Business Practice Location Address Details
Address
562 Wyoming Ave
City
State
Zip
18704-3721
Phone Number
570-552-3740
Fax Number
570-552-3743
person
Provider Business Mailing Address Details
Address
562 Wyoming Ave
City
State
Zip
18704-3721
Phone Number
570-552-3740
Fax Number
570-552-3743
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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