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COMPREHENSIVE CARE CLINIC
NPI 1205270410
Clinic/Center - Primary Care in Moosic, PA

Active since April 18, 2013
340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507(570) 589-0707 Get Directions Write a Review

NPPES record last updated: April 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Comprehensive Care Clinic NPPES

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

COMPREHENSIVE CARE CLINIC (NPI 1205270410) is a healthcare organization registered as a primary care in Moosic, Pennsylvania and active in the NPI registry since April 2013. The organization lists Faizmohamed M Mansuri, Physician, as its authorized official.

NPPES Registry Identity

NPI1205270410
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOMPREHENSIVE CARE CLINIC
Location Address340 MONTAGE MOUNTAIN RDMoosic, PA 18507-1782
Mailing Address2 Somerset CloseMoosic, PA 18507-2110 · (570) 589-0707
Phone(570) 589-0707
Organization SubpartNo
Authorized OfficialFaizmohamed M MansuriPhysician · (570) 589-0707
Enumeration DateApril 18, 2013
Last NPPES UpdateApril 19, 2013
✔ NPI 1205270410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in PA · MD427029
340 MONTAGE MOUNTAIN RD, Moosic, PA 18507
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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.

MRS. AMANDA LYN FIDIAM PA-C
Physician Assistant (Medical)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
JESSICA MCDONOUGH MS, NCC, LPC
Counselor (Professional)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
FRANCIELE DACRUZ LAPC
Counselor (Professional)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
MR. JOSEPH FEISTL PA
Physician Assistant (Medical)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
LIZA ROSE BEVIGLIA
Physician Assistant
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
MATTHEW VINNACOMBE PA-C
Physician Assistant (Medical)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
DR. KRISTIE MARIE NARDELL M.D.
Psychiatry & Neurology (Psychiatry)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
MARIE T ZEDALIS CRNP
Nurse Practitioner (Family)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686

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 Comprehensive Care Clinic's NPI number?

The NPI number for Comprehensive Care Clinic is 1205270410. It was assigned to this organization in the NPPES registry on April 18, 2013.

Where is Comprehensive Care Clinic located?

Comprehensive Care Clinic is located at 340 Montage Mountain Rd, Moosic, PA 18507. The listed phone number is (570) 589-0707.

What is Comprehensive Care Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Comprehensive Care Clinic was last updated on April 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.