1. Home
  2. Directory
  3. Pennsylvania
  4. Wellsboro
  5. Clinic Center
  6. NPI Profile

LAUREL PEDIATRICS - WELLSBORO
NPI 1801453980
Clinic/Center - Federally Qualified Health Center (FQHC) in Wellsboro, PA

Active since May 23, 2019
1B MAIN ST, WELLSBORO, PA 16901(570) 724-7100(570) 724-1501 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 16, 2020, Aug 22, 2019, May 23, 2019 (3 updates tracked since 2019).

About Laurel Pediatrics - Wellsboro NPPES

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

LAUREL PEDIATRICS - WELLSBORO (NPI 1801453980) is a healthcare organization registered as a federally qualified health center (fqhc) in Wellsboro, Pennsylvania and active in the NPI registry since May 2019. The organization lists Angela M. Vanzile, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1801453980
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTH PENN COMPREHENSIVE HEALTH SERVICES
Location Address1B MAIN STWellsboro, PA 16901-1601
Mailing Address6a Riverside PlzBlossburg, PA 16912-1137 · (570) 662-1945
Phone(570) 724-7100
Fax(570) 724-1501
Organization SubpartYes
Authorized OfficialAngela M. VanzileCredentialing Coordinator · (570) 662-1945
Enumeration DateMay 23, 2019
Last NPPES UpdateNovember 16, 20203 updates tracked since enumeration
NPPES CertifiedNovember 16, 2020
✔ NPI 1801453980 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 ListedPediatricsTaxonomy 208000000X
1B MAIN ST, Wellsboro, PA 16901
Open in Google Maps ↗

Other Names 1

Doing Business AsLaurel Pediatrics - Wellsboro

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

ANN R VAYANSKY CPNP
Nurse Practitioner
1B MAIN ST
WELLSBORO, PA 16901
Tioga County (570) 724-7100
BARRY A CLARK MD
Pediatrics
1B MAIN ST
WELLSBORO, PA 16901
Tioga County (570) 724-7100
KATHRYN S ABADI PA-C
Physician Assistant (Medical)
1B MAIN ST
WELLSBORO, PA 16901
Tioga County (570) 724-7100
EDITH A CONDICT CRNP
Nurse Practitioner (Family)
1B MAIN ST
WELLSBORO, PA 16901
Tioga County (570) 724-7100

Frequently Asked Questions

What is NORTH PENN COMPREHENSIVE HEALTH SERVICES's NPI number?

The NPI number assigned to this healthcare provider is 1801453980, enumerated as an "organization" on May 23, 2019.

Where is the provider located?

The provider is located at 1B MAIN ST WELLSBORO, PA 16901 and the phone number is (570) 724-7100.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).