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ANGELRAY FAMILY MEDICAL LLC
NPI 1952681074
Clinic/Center - Primary Care in Mahanoy City, PA

Active since August 19, 2011
215 W CENTRE ST, MAHANOY CITY, PA 17948(570) 590-2573 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angelray Family Medical Llc NPPES

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

ANGELRAY FAMILY MEDICAL LLC (NPI 1952681074) is a healthcare organization registered as a primary care in Mahanoy City, Pennsylvania and active in the NPI registry since August 2011. The organization lists Kristin Marie O'donnell, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1952681074
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameANGELRAY FAMILY MEDICAL LLC
Location Address215 W CENTRE STMahanoy City, PA 17948-2505
Mailing Address215 W Centre StMahanoy City, PA 17948-2505
Phone(570) 590-2573
Organization SubpartNo
Authorized OfficialKristin Marie O'donnellFamily Nurse Practitioner · (570) 590-2573
Enumeration DateAugust 19, 2011
✔ NPI 1952681074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in PA · SP009671
215 W CENTRE ST, Mahanoy City, PA 17948
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Other Identifiers 4

Other1104094291PA · Individual Provider Npi
Medicaid1021574590001PA
Medicare PIN152756UGYPA
Other11974651PA · Caqh Provider Id

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 Angelray Family Medical LLC's NPI number?

The NPI number for Angelray Family Medical LLC is 1952681074. It was assigned to this organization in the NPPES registry on August 19, 2011.

Where is Angelray Family Medical LLC located?

Angelray Family Medical LLC is located at 215 W Centre St, Mahanoy City, PA 17948. The listed phone number is (570) 590-2573.

What is Angelray Family Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Angelray Family Medical LLC was last updated on August 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.