Susquehanna Family Health Clinic Inc

LBN: Family Health Clinic Inc
Susquehanna Family Health Clinic Inc is an health care organization with primary practice located at 401 Broad Ave , Susquehanna PA 18847-1611. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Family Health Clinic Inc can be contacted via phone (570) 853-3995, or through Dewitt, Warren S via phone (570) 853-3995.

Contact Information

Primary practice address
401 Broad Ave Susquehanna PA 18847-1611
Phone: (570) 853-3995
Fax: (570) 853-3728
Website:
Map and Directions
Authorized official contact:
Name: Dewitt, Warren S Doctor of Medicine (MD)
Phone: (570) 853-3995

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X MD024723E Pennsylvania
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1972529543
LBN Legal business name Family Health Clinic Inc
DBA Doing business as Susquehanna Family Health Clinic Inc
Authorized official Dewitt, Warren S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2006
Last updated Jan 28th, 2021 - about 3 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1972529543 NPPES
Pennsylvania MEDICAID 0011996300001

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