MATERNAL & FAMILY HEALTH SERVICES, INC. NPI 1003033416

Clinic/Center in Honesdale, PA

NPI 1003033416 Organization Clinic/Center

About MATERNAL & FAMILY HEALTH SERVICES, INC.

Maternal & Family Health Services, Inc. is a provider established in Honesdale, Pennsylvania specializing in clinic/center. The NPI number of Maternal & Family Health Services, Inc. is 1003033416 and was assigned on April 2007. The practitioner's primary taxonomy code is 261Q00000X with license number MD055164L (PA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Richard W. Mackey (Chief Financial Officer)

NPI

1003033416

Provider NameMATERNAL & FAMILY HEALTH SERVICES, INC.
Provider Location Address273 GRANDVIEW AVE SUITE 4 HONESDALE, PA 18431
Provider Mailing Address15 PUBLIC SQ SUITE 600 WILKES BARRE, PA 18701
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-19-2007
Last Update Date10-11-2011


Primary Taxonomy

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
License No.MD055164L
License StatePA
Taxonomy DescriptionA facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

MATERNAL & FAMILY HEALTH SERVICES, INC.
273 GRANDVIEW AVE
SUITE 4
HONESDALE, PA
ZIP 18431
Phone: (570) 253-5626
Fax: (570) 253-8999

Get Directions


Mailing Address

MATERNAL & FAMILY HEALTH SERVICES, INC.
15 PUBLIC SQ
SUITE 600
WILKES BARRE, PA
ZIP 18701
Phone: (570) 823-7000
Fax: (570) 823-3040



Authorized Official

Authorized Official NameMR. RICHARD W. MACKEY
Authorized Official TitleCHIEF FINANCIAL OFFICER
Authorized Official Phone(570) 823-7000

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
03170909MEDICAID (05)NY
1026261910001MEDICAID (05)PA
1007678420032MEDICAID (05)PA
1007678420021MEDICAID (05)PA

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902841984DR. JENNIFER ERNESTINE STEVENS O.D.
Individual
Optometrist (Pediatrics)273 GRANDVIEW AVE SUITE 3
HONESDALE, PA 18431
(570) 253-8840
1649443623JENNIFER STEVENS
Organization
Eyewear Supplier273 GRANDVIEW AVE SUITE 3
HONESDALE, PA 18431
(570) 253-8840
1346854270WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))273 GRANDVIEW AVE
HONESDALE, PA 18431
(570) 390-4545
1053336321DR. TIMOTHY H HARTZOG MD
Individual
Pediatrics273 GRANDVIEW AVE
HONESDALE, PA 18431
(570) 390-4545

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.