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SUSQUEHANNA FAMILY HEALTH CLINIC INC
NPI 1972529543
Clinic/Center - Rural Health in Susquehanna, PA

Active since July 15, 2006CLIA 39D0932374 · Microscopy
401 BROAD AVE, SUSQUEHANNA, PA 18847(570) 853-3995(570) 853-3728 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susquehanna Family Health Clinic Inc NPPES

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

SUSQUEHANNA FAMILY HEALTH CLINIC INC (NPI 1972529543) is a healthcare organization registered as a rural health in Susquehanna, Pennsylvania and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through August 19, 2027 and lists Warren S Dewitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1972529543
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAMILY HEALTH CLINIC INC
Location Address401 BROAD AVESusquehanna, PA 18847-1611
Mailing AddressPo Box 11Susquehanna, PA 18847-0011 · (570) 853-3995 · Fax (570) 853-3728
Phone(570) 853-3995
Fax(570) 853-3728
Organization SubpartNo
Authorized OfficialWarren S DewittOwner · (570) 853-3995
Enumeration DateJuly 15, 2006
Last NPPES UpdateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1972529543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X · License MD024723E (PA)
401 BROAD AVE, Susquehanna, PA 18847
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Other Names 1

Doing Business AsSusquehanna Family Health Clinic Inc

Other Identifiers 1

Medicaid0011996300001PA

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 for Provider-Performed Microscopy Procedures (PPMP) 39D0932374

Susquehanna Family Health Clinic · Susquehanna, PA
Active · expires Aug 19, 2027
CLIA Number39D0932374
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorDr. Warren S. Dewitt
Laboratory Phone(570) 853-3995
Laboratory LocationSusquehanna Family Health Clinic401 Broad Avenue, Susquehanna, PA 18847
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

NICOLE ANN SUHADOLNIK FNP-C
Nurse Practitioner (Family)
401 BROAD AVE
SUSQUEHANNA, PA 18847
Susquehanna County (570) 853-3995
WARREN DEWITT MD
Family Medicine
401 BROAD AVE
SUSQUEHANNA, PA 18847
Susquehanna County (570) 853-3995
KATHRYN NELLIE DEWITT
Nurse Practitioner (Family)
401 BROAD AVE
SUSQUEHANNA, PA 18847
Susquehanna County (570) 853-3995
JANINE MARIE DEWITT PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
401 BROAD AVE
SUSQUEHANNA, PA 18847
Susquehanna County (570) 853-3995

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 Family Health Clinic Inc's NPI number?

The NPI number for Family Health Clinic Inc is 1972529543. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as Susquehanna Family Health Clinic Inc.

Where is Family Health Clinic Inc located?

Family Health Clinic Inc is located at 401 Broad Ave, Susquehanna, PA 18847. The listed phone number is (570) 853-3995.

What is Family Health Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Family Health Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D0932374) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Health Clinic Inc was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.