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Contact Information

MAIN STREET PEDIATRICS OF GREATER SCRANTON
247 MAIN ST # PA
DICKSON CITY, PA18519-1641
 Phone: 570-291-4180
 Fax: 570-586-3953
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MAIN STREET PEDIATRICS OF GREATER SCRANTON

NPI # 1881253011
LBN Legal business name MAIN STREET PEDIATRICS OF GREATER SCRANTON
Authorized official ANNIE MCDONOUGH - (OFFICE MGR.)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2019
Last updated 06/11/2019 - About 7 years ago
Identifiers
PA Medicaid 0011992910003
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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