Physicians Health Alliance

LBN: Scranton Quincy Clinic Company Llc
Physicians Health Alliance is an health care organization with primary practice located at 748 Quincy Ave Suite 1A, Scranton PA 18510-1739. The organization recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Scranton Quincy Clinic Company Llc can be contacted via phone (570) 347-9600, or through Brewer, Debbie Thorn via phone (877) 892-9813.

Contact Information

Primary practice address
748 Quincy Ave Suite 1A Scranton PA 18510-1739
Phone: (570) 347-9600
Fax: (570) 342-0681
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie Thorn
Phone: (877) 892-9813

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X

Profile Details

NPI number 1902183304
LBN Legal business name Scranton Quincy Clinic Company Llc
DBA Doing business as Physicians Health Alliance
Authorized official Brewer, Debbie Thorn
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2011
Last updated Mar 22nd, 2012 - about 12 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 1902183304 NPPES
Pennsylvania MEDICAID 102669377-0002

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