Cleanslate Medical Group Of Pennsylvania Llc

LBN: Cleanslate Medical Group Of Pennsylvania Llc
Cleanslate Medical Group Of Pennsylvania Llc is an health care organization with primary practice located at 100 N Wilkes Barre Blvd Ste 103 , Wilkes Barre PA 18702-5240. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Cleanslate Medical Group Of Pennsylvania Llc can be contacted via phone (413) 584-2173, or through Smolarek, Matthew Philip via phone (412) 999-5188.

Contact Information

Primary practice address
100 N Wilkes Barre Blvd Ste 103 Wilkes Barre PA 18702-5240
Phone: (413) 584-2173
Fax: (413) 727-3619
Website:
Map and Directions
Authorized official contact:
Name: Smolarek, Matthew Philip
Phone: (412) 999-5188

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1184177263
LBN Legal business name Cleanslate Medical Group Of Pennsylvania Llc
DBA Doing business as
Authorized official Smolarek, Matthew Philip
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2016
Last updated Jul 3rd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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