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BLACK CREEK HEALTH CENTER
NPI 1871695148
Clinic/Center - Federally Qualified Health Center (FQHC) in Nuremberg, PA

Active since September 05, 2006CLIA 39D0191536 · Waiver
75 PINEAPPLE STREET, NUREMBERG, PA 18241(570) 704-4235(570) 384-3454 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Black Creek Health Center NPPES

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

BLACK CREEK HEALTH CENTER (NPI 1871695148) is a healthcare organization registered as a federally qualified health center (fqhc) in Nuremberg, Pennsylvania and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 20, 2028 and lists Edward Mccarthy, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1871695148
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameRURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
Location Address75 PINEAPPLE STREETNuremberg, PA 18241-0670
Mailing Address1084 Route 315Wilkes-barre, PA 18702-7012 · (570) 825-8741 · Fax (570) 825-8990
Phone(570) 704-4235
Fax(570) 384-3454
Organization SubpartYes
Authorized OfficialEdward MccarthyChief Financial Officer · (570) 825-8741
Enumeration DateSeptember 5, 2006
Last NPPES UpdateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
✔ NPI 1871695148 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
75 PINEAPPLE STREET, Nuremberg, PA 18241
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Other Names 1

Doing Business AsBlack Creek Health Center

Other Identifiers 1

Medicaid1007296090014PA

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 39D0191536

Black Creek Health Center · Nuremberg, PA
Active · expires Apr 20, 2028
CLIA Number39D0191536
Laboratory TypeOther
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorDr. Mary E. Sokach
Laboratory Phone(570) 384-3201
Laboratory LocationBlack Creek Health Center75 Pineapple Street Box 670, Nuremberg, PA 18241
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 5

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

GEORGE D YURKO D.O.
Family Medicine
75 PINEAPPLE STREET, BLACK CREEK HEALTH CENTER
NUREMBERG, PA 18241
Schuylkill County (570) 384-3201
ROBERT E ASTLEFORD D.M.D.
Dentist
75 PINEAPPLE STREET, BLACK CREEK HEALTH CENTER
NUREMBERG, PA 18241
Schuylkill County (570) 384-3238
TRACEY HOPECK
Dental Hygienist
75 PINEAPPLE STREET, BLACK CREEK HEALTH CENTER
NUREMBERG, PA 18241
Schuylkill County (570) 384-3238
DIANE PETROVICH PA-C
Physician Assistant
75 PINEAPPLE STREET, BLACK CREEK HEALTH CENTER
NUREMBERG, PA 18241
Schuylkill County (570) 384-3201
JANELL MINTZ
Dental Hygienist
75 PINEAPPLE STREET
NUREMBERG, PA 18241
Schuylkill County (570) 704-4118

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 1871695148. It was assigned to this organization in the NPPES registry on September 5, 2006. The provider is doing business as Black Creek Health Center.

Where is Rural Health Corporation Of Northeastern Pennsylvania located?

Rural Health Corporation Of Northeastern Pennsylvania is located at 75 Pineapple Street, Nuremberg, PA 18241. The listed phone number is (570) 704-4235.

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 39D0191536) is associated with this NPI, valid through April 20, 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 March 6, 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.