OrganizationActive
Children'S Service Center of Wyoming Valley Inc
NPI 1689527392 · Federally Qualified Health Center (FQHC) · Wilkes Barre, PA
Provider details
- NPI number
- 1689527392
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Children'S Service Center of Wyoming Valley Inc
- Organization subpart
- Yes
- Authorized official
- Sharon Vivian, Cfo(570) 825-6425
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
21 Academy St
Wilkes Barre, PA 18702-3801
Phone: (570) 825-6425
Fax: (570) 762-9013
Approximate (ZIP-level) locationGet directions
Mailing address
21 Academy St
Wilkes Barre, PA 18702-3801
Registry dates
- Enumerated
- 2026-02-20
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.