Susquehanna Community Health And Dental Clinic, Inc.

LBN: Susquehanna Community Health And Dental Clinic, Inc.
Susquehanna Community Health And Dental Clinic, Inc. is an health care organization with primary practice located at 471 Hepburn St , Williamsport PA 17701-6122. The organization recently has 10 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health, Dental Providers / General Practice, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Susquehanna Community Health And Dental Clinic, Inc. can be contacted via phone (570) 567-5400, or through Krajewski, Ellen M via phone (570) 567-5412.

Contact Information

Primary practice address
471 Hepburn St Williamsport PA 17701-6122
Phone: (570) 567-5400
Fax: (570) 567-5421
Website:
Map and Directions
Authorized official contact:
Name: Krajewski, Ellen M NPH, CHES
Phone: (570) 567-5412

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Dental Public Health 1223D0001X
Dental Providers / General Practice 1223G0001X
Dental Providers / Dental Hygienist 124Q00000X
Dental Providers / Dental Assistant 126800000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1831412246
LBN Legal business name Susquehanna Community Health And Dental Clinic, Inc.
DBA Doing business as
Authorized official Krajewski, Ellen M NPH, CHES
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2010
Last updated Oct 29th, 2010 - about 14 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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