| Rural Health Corporation Of Northeastern Pennsylvania | |
|
404 Ridge St Freeland PA 18224-1805 | |
| (570) 704-4232 | |
| (570) 636-0985 |
| Full Name | Rural Health Corporation Of Northeastern Pennsylvania |
|---|---|
| Speciality | Clinic/Center |
| Location | 404 Ridge St, Freeland, Pennsylvania |
| Authorized Official Name and Position | Matthew J Iskra (CFO) |
| Authorized Official Contact | 5708258741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Corporation Of Northeastern Pennsylvania 276 E End Ctr Wilkes Barre PA 18702-6970 Ph: (570) 825-8741 | Rural Health Corporation Of Northeastern Pennsylvania 404 Ridge St Freeland PA 18224-1805 Ph: (570) 704-4232 |
| NPI Number | 1336241694 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 10/26/2023 |
| Medicare PECOS PAC ID | 1052362662 |
|---|---|
| Medicare Enrollment ID | O20100902000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336241694 | NPI | - | NPPES |
| 1007296090013 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
A & E Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Centre St, Freeland, PA 18224 Phone: 570-636-2232 Fax: 570-636-0903 |