WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
NPI 1073842936
Clinic/Center - Federally Qualified Health Center (FQHC) in Kingston, PA

Active since December 23, 2009
562 WYOMING AVE, KINGSTON, PA 18704(570) 552-3700(570) 552-3733 Get Directions Write a Review

NPPES record last updated: December 23, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wilkes Barre Behavioral Hospital Company Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC (NPI 1073842936) is a healthcare organization registered as a federally qualified health center (fqhc) in Kingston, Pennsylvania and active in the NPI registry since December 2009. The organization lists Laurie Holtsford, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1073842936
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Location Address562 WYOMING AVEKingston, PA 18704-3721
Mailing Address562 Wyoming AveKingston, PA 18704-3721 · (570) 552-3700 · Fax (570) 552-3733
Fax(570) 552-3733
Organization SubpartNo
Authorized OfficialLaurie HoltsfordAuthorized Official · (615) 465-7466
Enumeration DateDecember 23, 2009
NPI 1073842936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedRegistered NurseTaxonomy 163W00000X
562 WYOMING AVE, Kingston, PA 18704

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
562 WYOMING AVE
KINGSTON, PA 18704
Counselor (Addiction (Substance Use Disorder))
562 WYOMING AVE
KINGSTON, PA 18704
Psychologist
562 WYOMING AVE, NESBITT HOSPITAL
KINGSTON, PA 18704
Clinic/Center
562 WYOMING AVE
KINGSTON, PA 18704
Pharmacist
562 WYOMING AVE
KINGSTON, PA 18704
Psychologist (Counseling)
562 WYOMING AVE
KINGSTON, PA 18704
Clinic/Center (Mental Health (Including Community Mental Health Center))
562 WYOMING AVE
KINGSTON, PA 18704
Clinic/Center
562 WYOMING AVE
KINGSTON, PA 18704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilkes Barre Behavioral Hospital Company LLC's NPI number?

The NPI number for Wilkes Barre Behavioral Hospital Company LLC is 1073842936. It was assigned to this organization in the NPPES registry on December 23, 2009.

Where is Wilkes Barre Behavioral Hospital Company LLC located?

Wilkes Barre Behavioral Hospital Company LLC is located at 562 Wyoming Ave, Kingston, PA 18704. The listed phone number is (570) 552-3700.

What is Wilkes Barre Behavioral Hospital Company LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Wilkes Barre Behavioral Hospital Company LLC was last updated on December 23, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.