Scranton Cardiovascular Physician Services Llc

LBN: Scranton Cardiovascular Physician Services Llc
Scranton Cardiovascular Physician Services Llc is an health care organization with primary practice located at 743 Jefferson Ave Ste 305 , Scranton PA 18510-1639. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Scranton Cardiovascular Physician Services Llc can be contacted via phone (570) 342-1776, or through Jackson, Jennifer L via phone (877) 892-9815.

Contact Information

Primary practice address
743 Jefferson Ave Ste 305 Scranton PA 18510-1639
Phone: (570) 342-1776
Fax: (570) 207-1910
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jennifer L
Phone: (877) 892-9815

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1366725418
LBN Legal business name Scranton Cardiovascular Physician Services Llc
DBA Doing business as
Authorized official Jackson, Jennifer L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2011
Last updated Jan 26th, 2022 - about 4 years ago

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 1366725418 NPPES
Other 237294 MEDICARE
MEDICAID 102687606-0001 MEDICARE

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