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KING'S COLLEGE
NPI 1164749966
Clinic/Center - Student Health in Wilkes Barre, PA

Active since May 03, 2010CLIA 39D2123294 · Waiver
133 N RIVER ST, WILKES BARRE, PA 18711(570) 208-5900(570) 208-5988 Get Directions Write a Review

NPPES record last updated: May 3, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About King's College NPPES

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

KING'S COLLEGE (NPI 1164749966) is a healthcare organization registered as a student health in Wilkes Barre, Pennsylvania and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through December 17, 2026 and lists Janet Mercincavage, Vp For Student Affairs, as its authorized official.

NPPES Registry Identity

NPI1164749966
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameKING'S COLLEGE
Location Address133 N RIVER STWilkes Barre, PA 18711-0800
Mailing Address133 N River StWilkes Barre, PA 18711-0800 · (570) 208-5900 · Fax (570) 208-5988
Phone(570) 208-5900
Fax(570) 208-5988
Organization SubpartNo
Authorized OfficialJanet MercincavageVp For Student Affairs · (570) 208-5900
Enumeration DateMay 3, 2010
✔ NPI 1164749966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
License✔ Licensed in SD · MA001257L
133 N RIVER ST, Wilkes Barre, PA 18711
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2123294

Kings College Student Health Center · Wilkes Barre, PA
Active · expires Dec 17, 2026
CLIA Number39D2123294
Laboratory TypeSchool/Student Health Service
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorDr. Jacqueline F. Cain
Laboratory Phone(570) 208-5852
Laboratory LocationKings College Student Health Center133 N River Street, Wilkes Barre, PA 18711
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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.

NICHOLAS COLAVITO JR.
Student in an Organized Health Care Education/Training Program
133 N RIVER ST
WILKES BARRE, PA 18711
Luzerne County (570) 208-5900
MR. TIMOTHY ADAM KULPA DAT, LAT, ATC
Specialist/Technologist (Athletic Trainer)
133 N RIVER ST
WILKES BARRE, PA 18711
Luzerne County (570) 208-5900
BRANDI MCINTOSH
Student in an Organized Health Care Education/Training Program
133 N RIVER ST
WILKES BARRE, PA 18711
Luzerne County (570) 208-5900
MADELYNN ROSE WHITE
Student in an Organized Health Care Education/Training Program
133 N RIVER ST
WILKES BARRE, PA 18711
Luzerne County (570) 208-5900
BRANDON JAY GEORGE
Student in an Organized Health Care Education/Training Program
133 N RIVER ST
WILKES BARRE, PA 18711
Luzerne County (888) 546-4772
BRYAN HICKS
Student in an Organized Health Care Education/Training Program
133 N RIVER ST
WILKES BARRE, PA 18711
Luzerne County (570) 208-5900
JENNIFER DEVENS
Student in an Organized Health Care Education/Training Program
133 N RIVER ST
WILKES BARRE, PA 18711
Luzerne County (570) 208-5900
MR. CAMERON MICHAEL LESLIE
Student in an Organized Health Care Education/Training Program
133 N RIVER ST
WILKES BARRE, PA 18711
Luzerne County (570) 208-5900

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 King's College's NPI number?

The NPI number for King's College is 1164749966. It was assigned to this organization in the NPPES registry on May 3, 2010.

Where is King's College located?

King's College is located at 133 N River St, Wilkes Barre, PA 18711. The listed phone number is (570) 208-5900.

What is King's College's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Does King's College hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2123294) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for King's College was last updated on May 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.