BLACK CREEK HEALTH CENTER
NPI 1871695148
Clinic/Center - Federally Qualified Health Center (FQHC) in Nuremberg, PA
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
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Black Creek Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Black Creek Health Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (20)
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 39D0191536
Black Creek Health Center · Nuremberg, PAFrequently 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.
Is Rural Health Corporation Of Northeastern Pennsylvania enrolled in Medicare?
Yes. Rural Health Corporation Of Northeastern Pennsylvania is registered in the Medicare PECOS enrollment system.
When is Rural Health Corporation Of Northeastern Pennsylvania's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Rural Health Corporation Of Northeastern Pennsylvania?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 4 Medicare specialties reassign their Medicare billing to Rural Health Corporation Of Northeastern Pennsylvania. 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 Family Practice (9), Nurse Practitioner (9) and Dentist (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Black Creek Health Center · NPI 1871695148
Federally Qualified Health Center (FQHC) organization in Nuremberg, Pennsylvania. Organization record, active in the CMS NPPES registry since September 5, 2006.
## Identity
- **NPI:** 1871695148 (Entity type: Organization)
- **Enumerated:** September 5, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Rural Health Corporation Of Northeastern Pennsylvania
- **Organization subpart:** Yes (part of Rural Health Corporation Of Northeastern Pennsylvania)
- **Authorized official:** Edward Mccarthy, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 75 PINEAPPLE STREET, Nuremberg, PA 18241-0670
- **Phone:** (570) 704-4235 · **Fax:** (570) 384-3454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 20 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (9), Nurse Practitioner (9), Dentist (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2020
- **Other identifiers:** Medicaid 1007296090014 (PA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871695148) · Data from the CMS NPPES public registry.