Main Street Pediatrics Of Greater Scranton

LBN: Main Street Pediatrics Of Greater Scranton
Main Street Pediatrics Of Greater Scranton is an health care organization with primary practice located at 247 Main St # Pa , Dickson City PA 18519-1641. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Main Street Pediatrics Of Greater Scranton can be contacted via phone (570) 291-4180, or through Mcdonough, Annie via phone (570) 291-4180.

Contact Information

Primary practice address
247 Main St # Pa Dickson City PA 18519-1641
Phone: (570) 291-4180
Fax: (570) 586-3953
Website:
Map and Directions
Authorized official contact:
Name: Mcdonough, Annie
Phone: (570) 291-4180

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1881253011
LBN Legal business name Main Street Pediatrics Of Greater Scranton
DBA Doing business as
Authorized official Mcdonough, Annie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2019
Last updated Jun 11th, 2019 - about 6 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 1881253011 NPPES
Pennsylvania MEDICAID 0011992910003

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