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SHICKSHINNY HEALTH CENTER
NPI 1790887057
Clinic/Center - Federally Qualified Health Center (FQHC) in Shickshinny, PA

Active since September 05, 2006CLIA 39D0192893 · Waiver
26 N MAIN ST, SHICKSHINNY, PA 18655(570) 704-4230(570) 542-2580 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 26, 2023, Mar 6, 2020 (2 updates tracked since 2020).

About Shickshinny Health Center NPPES

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

SHICKSHINNY HEALTH CENTER (NPI 1790887057) is a healthcare organization registered as a federally qualified health center (fqhc) in Shickshinny, Pennsylvania and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Matthew J Iskra, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790887057
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameRURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
Location Address26 N MAIN STShickshinny, PA 18655-1302
Mailing Address276 E End CtrWilkes Barre, PA 18702-6970 · (570) 825-8741 · Fax (570) 825-8990
Phone(570) 704-4230
Fax(570) 542-2580
Organization SubpartYes
Authorized OfficialMatthew J IskraCfo · (570) 825-8741
Enumeration DateSeptember 5, 2006
Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
✔ NPI 1790887057 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 ListedFamily MedicineTaxonomy 207Q00000X
26 N MAIN ST, Shickshinny, PA 18655
Open in Google Maps ↗

Other Names 1

Doing Business AsShickshinny Health Center

Other Identifiers 1

Medicaid1007296090012PA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 39D0192893

Shickshinny Health Center · Shickshinny, PA
Active · expires Apr 24, 2028
CLIA Number39D0192893
Laboratory TypeOther
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorDr. Mary E. Sokach
Laboratory Phone(570) 542-4141
Laboratory LocationShickshinny Health Center26 North Main Street, Shickshinny, PA 18655
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. JURGEN STRAUB MD
Family Medicine
26 N MAIN ST
SHICKSHINNY, PA 18655
Luzerne County (570) 542-4141
MEGAN M O'DONOVAN PA-C
Physician Assistant
26 N MAIN ST
SHICKSHINNY, PA 18655
Luzerne County (570) 542-4141
COLLEEN REYNOLDS PA-C
Physician Assistant
26 N MAIN ST, SHICKSHINNY HEALTH CENTER
SHICKSHINNY, PA 18655
Luzerne County (570) 542-4141

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 Rural Health Corporation Of Northeastern Pennsylvania's NPI number?

The NPI number for Rural Health Corporation Of Northeastern Pennsylvania is 1790887057. It was assigned to this organization in the NPPES registry on September 5, 2006. The provider is doing business as Shickshinny Health Center.

Where is Rural Health Corporation Of Northeastern Pennsylvania located?

Rural Health Corporation Of Northeastern Pennsylvania is located at 26 N Main St, Shickshinny, PA 18655. The listed phone number is (570) 704-4230.

What is Rural Health Corporation Of Northeastern Pennsylvania's specialty?

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

Does Rural Health Corporation Of Northeastern Pennsylvania hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0192893) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rural Health Corporation Of Northeastern Pennsylvania accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Rural Health Corporation Of Northeastern Pennsylvania as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rural Health Corporation Of Northeastern Pennsylvania was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.