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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: July 19, 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.

MS. RYANNE KATHLEEN SHOTWELL M.ED, ATC
Specialist/Technologist (Athletic Trainer)
133 N RIVER ST
WILKES BARRE, PA 18711
Luzerne County (570) 208-5900
MS. MELISSA MARIE STAVINSKI MS, ATC
Specialist/Technologist (Athletic Trainer)
133 N RIVER ST
WILKES BARRE, PA 18711
Luzerne County (570) 208-5900
AARON JOSEPH HAND ATC
Specialist/Technologist (Athletic Trainer)
133 N RIVER ST
WILKES BARRE, PA 18711
Luzerne County (570) 208-5900
MR. DAVID P MARCHETTI JR. ATC, CSCS
Specialist/Technologist (Athletic Trainer)
133 N RIVER ST
WILKES BARRE, PA 18711
Luzerne County (570) 208-5900
LORRAINE NOVINGER PAC
Physician Assistant
133 N RIVER ST
WILKES BARRE, PA 18711
Luzerne County (570) 208-5900
MR. JAIRAD S HYDRICK PPAS
Student in an Organized Health Care Education/Training Program
133 N RIVER ST, BOX NUMBER 2110
WILKES BARRE, PA 18711
Luzerne County (803) 609-7375
CHRISTINA NASSANEY
Student in an Organized Health Care Education/Training Program
133 N RIVER ST
WILKES BARRE, PA 18711
Luzerne County (570) 208-5900
SHANLEY HARLACKER
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

What is KING'S COLLEGE's NPI number?

The NPI number assigned to this healthcare provider is 1164749966, enumerated as an "organization" on May 03, 2010.

Where is the provider located?

The provider is located at 133 N RIVER ST WILKES BARRE, PA 18711 and the phone number is (570) 208-5900.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.