NPI | 1912093576 |
---|---|
Doing Business As | LAUREL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | RONALD M GILBERT CFO 570-662-1955 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 163W00000X Registered Nurse |
164W00000X Licensed Practical Nurse | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
208D00000X General Practice | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2018-12-06 |