Pediatric Practices Of Northeastern Pa
LBN: Pediatric Practices Of Northeastern Pa
Pediatric Practices Of Northeastern Pa is an health care organization with primary practice located at 62 Industrial Park Rd , Lake Ariel PA 18436-5606. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Pediatric Practices Of Northeastern Pa can be contacted via phone (570) 689-7565, or through Morton, Robert via phone (570) 253-5838.
Contact Information
Primary practice address
62 Industrial Park Rd
Lake Ariel PA 18436-5606
Phone: (570) 689-7565
Fax: (570) 689-4803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1033441092 |
|---|---|
| LBN Legal business name | Pediatric Practices Of Northeastern Pa |
| DBA Doing business as | Pediatric Practices Of Northeastern Pa |
| Authorized official | Morton, Robert Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2010 |
| Last updated | Jul 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033441092 | NPPES |
| Pennsylvania | MEDICAID | 1007422260016 | |
| Pennsylvania | Other | 39-3888 |
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