<Unavail>

LBN: Pediatria Healthcare, Llc
<Unavail> is an health care organization with primary practice located at 53 Gravel St Suite C, Wilkes Barre PA 18705-3738. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care, which is considered as the primary health care specialty. Pediatria Healthcare, Llc can be contacted via phone (770) 840-1966, or through Buckhalter, Matthew via phone (470) 464-8000.

Contact Information

Primary practice address
53 Gravel St Suite C Wilkes Barre PA 18705-3738
Phone: (770) 840-1966
Fax: (770) 840-1901
Website:
Map and Directions
Authorized official contact:
Name: Buckhalter, Matthew
Phone: (470) 464-8000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care 261QM3000X

Profile Details

NPI number 1447492269
LBN Legal business name Pediatria Healthcare, Llc
DBA Doing business as <Unavail>
Authorized official Buckhalter, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2009
Last updated Jan 27th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447492269 NPPES
Pennsylvania MEDICAID 1021992800013

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