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LAUREL BEHAVIORAL HEALTH OUTPATIENT
NPI 1376923896
Clinic/Center - Federally Qualified Health Center (FQHC) in Mansfield, PA

Active since June 01, 2015
40 W WELLSBORO ST, MANSFIELD, PA 16933(570) 723-0620 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2022, Nov 16, 2020, Dec 6, 2018 (3 updates tracked since 2018).

About Laurel Behavioral Health Outpatient NPPES

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

LAUREL BEHAVIORAL HEALTH OUTPATIENT (NPI 1376923896) is a healthcare organization registered as a federally qualified health center (fqhc) in Mansfield, Pennsylvania and active in the NPI registry since June 2015. The organization maintains a secondary practice location in Wellsboro and lists Angela M. Vanzile, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1376923896
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTH PENN COMPREHENSIVE HEALTH SERVICES
Location Address40 W WELLSBORO STMansfield, PA 16933-1411
Mailing Address40 W Wellsboro StMansfield, PA 16933-1411 · (570) 662-1945 · Fax (570) 662-2390
Phone(570) 723-0620
Organization SubpartYes
Authorized OfficialAngela M. VanzileCredentialing Coordinator · (570) 662-1945
Enumeration DateJune 1, 2015
Last NPPES UpdateApril 18, 20233 updates tracked since enumeration
NPPES CertifiedApril 18, 2023
✔ NPI 1376923896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
40 W WELLSBORO ST, Mansfield, PA 16933
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Other Names 1

Doing Business AsLaurel Behavioral Health Outpatient

Secondary Practice Location 1

Location 1114 East AveWellsboro, PA 16901-1737 · Phone (570) 723-0620 · Fax (570) 724-0675

Other Identifiers 3

Other103562PA · Medicare Part B
Other391056PA · Medicare Part A
Medicaid1000011720142PA

Other Providers at the Same Location NPPES 10

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

KRISTINA E. MIELKE LCSW
Social Worker (Clinical)
40 W WELLSBORO ST
MANSFIELD, PA 16933
Tioga County (570) 723-0623
JAMES E. MANNING IV MD
Psychiatry & Neurology (Psychiatry)
40 W WELLSBORO ST
MANSFIELD, PA 16933
Tioga County (570) 662-1945
STEVEN L HEFFNER D.C.
Chiropractor
40 W WELLSBORO ST
MANSFIELD, PA 16933
Tioga County (570) 662-1945
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
40 W WELLSBORO ST
MANSFIELD, PA 16933
Tioga County (570) 662-1948
HALEY ANN ZUCHOWSKI LCSW
Social Worker (Clinical)
40 W WELLSBORO ST
MANSFIELD, PA 16933
Tioga County (570) 723-0620
DR. GERALD H CERRONE PH.D.
Psychologist (Clinical)
40 W WELLSBORO ST
MANSFIELD, PA 16933
Tioga County (157) 066-2194
MARIA LUISA CRUZ M.D.
General Practice
40 W WELLSBORO ST, MANSFIELD LAUREL HEALTH CENTER
MANSFIELD, PA 16933
Tioga County (570) 662-2002
DR. JENNIFER ELIZABETH GONZALEZ D.C.
Chiropractor
40 W WELLSBORO ST
MANSFIELD, PA 16933
Tioga County (570) 662-1974

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 North Penn Comprehensive Health Services's NPI number?

The NPI number for North Penn Comprehensive Health Services is 1376923896. It was assigned to this organization in the NPPES registry on June 1, 2015. The provider is doing business as Laurel Behavioral Health Outpatient.

Where is North Penn Comprehensive Health Services located?

North Penn Comprehensive Health Services is located at 40 W Wellsboro St, Mansfield, PA 16933. The listed phone number is (570) 723-0620.

What is North Penn Comprehensive Health Services'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 North Penn Comprehensive Health Services was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.