SCRANTON PRIMARY HEALTH CARE CENTER, INC.
NPI 1801336458
Clinic/Center - Federally Qualified Health Center (FQHC) in Scranton, PA

Active since March 01, 2017CLIA 39D2133639 · Waiver
425 ALDER ST, SCRANTON, PA 18505(570) 955-5524(570) 354-2113 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2020, Mar 1, 2017 (2 updates tracked since 2017).

About Scranton Primary Health Care Center, Inc. NPPES

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

SCRANTON PRIMARY HEALTH CARE CENTER, INC. (NPI 1801336458) is a healthcare organization registered as a federally qualified health center (fqhc) in Scranton, Pennsylvania and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Joseph H Hollander, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1801336458
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSCRANTON PRIMARY HEALTH CARE CENTER, INC.
Location Address425 ALDER STScranton, PA 18505-4126
Mailing Address959 Wyoming AveScranton, PA 18509-3023 · (570) 344-3517 · Fax (570) 344-9683
Fax(570) 354-2113
Organization SubpartYes
Authorized OfficialJoseph H HollanderExecutive Director · (570) 344-3517
Enumeration DateMarch 1, 2017
Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
✔ NPI 1801336458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
425 ALDER ST, Scranton, PA 18505

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scranton Primary Health Care Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Scranton Primary Health Care Center, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner5
Dentist3
Internal Medicine2
Pediatric Medicine2
Clinical Social Worker1

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1295689495
425 ALDER ST
Scranton, PA 18505
(570) 344-3517
✔ PECOSSame address
Dentist
NPI 1194891341
219 N MAIN AVE
Scranton, PA 18504
(570) 961-2645
✔ PECOS1.2 mi
Pediatric Medicine
NPI 1174513287
959 WYOMING AVE
Scranton, PA 18509
(570) 344-9684
✔ PECOS1.4 mi
Clinical Social Worker
NPI 1366914657
959 WYOMING AVE
Scranton, PA 18509
(570) 344-3517
✔ PECOS✔ Accepts Medicare1.4 mi
Internal Medicine
NPI 1225081706
959 WYOMING AVE SCRANTON PRIMARY HEALTH CARE CENTER
Scranton, PA 18509
(570) 344-9684
✔ PECOS✔ Accepts Medicare1.4 mi
Internal Medicine
NPI 1972093474
959 WYOMING AVE
Scranton, PA 18509
(570) 344-9684
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1154080331
959 WYOMING AVE
Scranton, PA 18509
(570) 344-9684
✔ PECOS1.4 mi
Dentist
NPI 1457194037
959 WYOMING AVE
Scranton, PA 18509
(570) 344-9684
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1841966645
959 WYOMING AVE
Scranton, PA 18509
(570) 344-9684
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1740956044
959 WYOMING AVE
Scranton, PA 18509
(570) 344-9684
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1346473030
503 SUNSET DR
Olyphant, PA 18447
(570) 342-7864
✔ PECOS5.6 mi
Pediatric Medicine
NPI 1750941951
166 HANOVER ST
Wilkes Barre, PA 18702
(570) 808-8780
✔ PECOS17 mi
Dentist
NPI 1518851922
233 S 3RD ST
Lehighton, PA 18235
(610) 377-5948
✔ PECOS39 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 39D2133639

Scranton Primary Health Care Center, Inc · Scranton, PA
Active · expires Jul 17, 2027
CLIA Number39D2133639
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorDr. Wasique Mirza
Laboratory Phone(570) 955-5524
Laboratory LocationScranton Primary Health Care Center, Inc425 Alder Street, Scranton, PA 18505
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Scranton Primary Health Care Center, Inc.'s NPI number?

The NPI number for Scranton Primary Health Care Center, Inc. is 1801336458. It was assigned to this organization in the NPPES registry on March 1, 2017.

Where is Scranton Primary Health Care Center, Inc. located?

Scranton Primary Health Care Center, Inc. is located at 425 Alder St, Scranton, PA 18505. The listed phone number is (570) 955-5524.

What is Scranton Primary Health Care Center, Inc.'s specialty?

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

Is Scranton Primary Health Care Center, Inc. enrolled in Medicare?

Yes. Scranton Primary Health Care Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scranton Primary Health Care Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 5 Medicare specialties reassign their Medicare billing to Scranton Primary Health Care Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Dentist (3) and Internal Medicine (2). Of these, 1 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Scranton Primary Health Care Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2133639) is associated with this NPI, valid through July 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Scranton Primary Health Care Center, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Scranton Primary Health Care Center, Inc. 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 Scranton Primary Health Care Center, Inc. was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.