| Sullivan County Laurel Health Center | |
|
217 King St Laporte PA 18626 | |
| (570) 946-5201 | |
| Not Available |
| Full Name | Sullivan County Laurel Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 217 King St, Laporte, Pennsylvania |
| Authorized Official Name and Position | Ronald Meryl Gilbert (CFO) |
| Authorized Official Contact | 5708283869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan County Laurel Health Center 40 W Wellsboro St Mansfield PA 16933-1411 Ph: (570) 662-1945 | Sullivan County Laurel Health Center 217 King St Laporte PA 18626 Ph: (570) 946-5201 |
| NPI Number | 1093520587 |
|---|---|
| Provider Enumeration Date | 02/11/2025 |
| Last Update Date | 02/21/2025 |
| Certification Date | 02/18/2025 |
| Medicare PECOS PAC ID | 0446245880 |
|---|---|
| Medicare Enrollment ID | O20250602002163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093520587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
Laporte Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 King Street, Laporte, PA 18626 Phone: 570-946-5201 |
Mental Health Associates of North Central PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Main And King Street, Laporte, PA 18626 Phone: 570-265-2525 Fax: 570-265-1075 |
Northern Tier Counseling, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Main Street, Laporte, PA 18626 Phone: 570-265-0100 |