Luzerne Wyoming County Mh Center #1
NPI #1952422354 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1952422354
- Entity Type
- Organization
- Organization Name
- Luzerne Wyoming County Mh Center #1
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 562 WYOMING AVE
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-3721
- Phone
- (570) 552-3740
Authorized Official
- Name
- JOSEPH H KNECHT
- Title
- CEO
- Phone
- (570) 552-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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