Wilkes-Barre Academic Medicine Llc

LBN: Wilkes-Barre Academic Medicine Llc
Wilkes-Barre Academic Medicine Llc is an health care organization with primary practice located at 2 Sharpe St , Kingston PA 18704-3715. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Wilkes-Barre Academic Medicine Llc can be contacted via phone (570) 552-8900, or through Wright, James P via phone (615) 465-7587.

Contact Information

Primary practice address
2 Sharpe St Kingston PA 18704-3715
Phone: (570) 552-8900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wright, James P
Phone: (615) 465-7587

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X

Profile Details

NPI number 1669613063
LBN Legal business name Wilkes-Barre Academic Medicine Llc
DBA Doing business as
Authorized official Wright, James P
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2009
Last updated May 14th, 2014 - about 10 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 1669613063 NPPES
Pennsylvania Other 00002101685 BLUE SHIELD
Pennsylvania MEDICAID 102288960-0001 BLUE SHIELD

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