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 1837 Fair Ave , Honesdale PA 18431-2121. 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) 253-5838, or through Morton, Robert via phone (570) 253-5838.

Contact Information

Primary practice address
1837 Fair Ave Honesdale PA 18431-2121
Phone: (570) 253-5838
Fax: (570) 253-1245
Website:
Map and Directions
Authorized official contact:
Name: Morton, Robert Doctor of Medicine (MD)
Phone: (570) 253-5838

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1730162678
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 Nov 23rd, 2005
Last updated Jul 23rd, 2019 - about 5 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 1730162678 NPPES
Pennsylvania Other 39-3887 CMS CERTIFICATION NUMBER
Pennsylvania MEDICAID 100742260015 CMS CERTIFICATION NUMBER
Pennsylvania MEDICAID 100742260018 CMS CERTIFICATION NUMBER
Pennsylvania MEDICAID 100742260016 CMS CERTIFICATION NUMBER

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