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WILLIAMSPORT FAMILY MEDICAL CENTER, LLC
NPI 1881954865
Clinic/Center - Methadone in Williamsport, PA

Active since May 23, 2012CLIA 39D2125325 · Waiver
422 PARK AVE, WILLIAMSPORT, PA 17701(570) 505-1123(570) 505-1237 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2021, Jun 9, 2021, Dec 23, 2019 and 1 more (4 updates tracked since 2019).

About Williamsport Family Medical Center, Llc NPPES

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

WILLIAMSPORT FAMILY MEDICAL CENTER, LLC (NPI 1881954865) is a healthcare organization registered as a methadone in Williamsport, Pennsylvania and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Robyn Tanis, Executive Director Of Contract Mgmt, as its authorized official.

NPPES Registry Identity

NPI1881954865
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameWILLIAMSPORT FAMILY MEDICAL CENTER, LLC
Location Address422 PARK AVEWilliamsport, PA 17701-4930
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111
Phone(570) 505-1123
Fax(570) 505-1237
Organization SubpartNo
Authorized OfficialRobyn TanisExecutive Director Of Contract Mgmt · (856) 533-8762
Enumeration DateMay 23, 2012
Last NPPES UpdateSeptember 21, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2021
✔ NPI 1881954865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedClinic/Center · Recovery CareTaxonomy 261QR0800X
422 PARK AVE, Williamsport, PA 17701
Open in Google Maps ↗

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 39D2125325

Williamsport Family Medical Center · Williamsport, PA
Active · expires Feb 5, 2027
CLIA Number39D2125325
Laboratory TypeAlcohol & Drug Treatment
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorDr. Thomas Baumgarten
Laboratory Phone(570) 505-1123
Laboratory LocationWilliamsport Family Medical Center422 Park Ave, Williamsport, PA 17701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
346 services12 patients

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 Williamsport Family Medical Center, LLC's NPI number?

The NPI number for Williamsport Family Medical Center, LLC is 1881954865. It was assigned to this organization in the NPPES registry on May 23, 2012.

Where is Williamsport Family Medical Center, LLC located?

Williamsport Family Medical Center, LLC is located at 422 Park Ave, Williamsport, PA 17701. The listed phone number is (570) 505-1123.

What is Williamsport Family Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Williamsport Family Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2125325) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Williamsport Family Medical Center, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Williamsport Family Medical Center, LLC 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 Williamsport Family Medical Center, LLC was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.