OrganizationActive
King'S College
NPI 1164749966 · Student Health Clinic/Center · Wilkes Barre, PA
Provider details
- NPI number
- 1164749966
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Janet Mercincavage, Vp for Student Affairs(570) 208-5900
- License
- MA001257L (SD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
133 N River St
Wilkes Barre, PA 18711-0800
Phone: (570) 208-5900
Fax: (570) 208-5988
Approximate (ZIP-level) locationGet directions
Mailing address
133 N River St
Wilkes Barre, PA 18711-0800
Registry dates
- Enumerated
- 2010-05-03
- Last updated
- 2010-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.