OrganizationActive
Kettle Creek Outfitters Ltd
NPI 1700408390 · Public Health or Welfare Agency · Cross Fork, PA
Kettle Creek Outfitters Ltd is a Public Health or Welfare Agency organization in Cross Fork, PA (NPI 1700408390).
Provider details
- NPI number
- 1700408390
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Parent organization
- Kettle Creek Outfitters Ltd
- Organization subpart
- Yes
- Authorized official
- David Flack, Owner(570) 502-2919
Specialties & taxonomies
Agencies
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
88 Quiet Oaks Campground Ln
Cross Fork, PA 17729-9430
Phone: (570) 502-2919
Fax: (570) 923-1799
Street-level locationGet directions
Mailing address
88 Quiet Oaks Campground Ln
Cross Fork, PA 17729-9430
Other names (DBA / former)
- Doing business as
- Need a Place to Go
Registry dates
- Enumerated
- 2020-05-18
- Last updated
- 2020-05-18
- Certified
- 2020-05-18
Frequently asked questions
- What is Kettle Creek Outfitters Ltd's NPI number?
- Kettle Creek Outfitters Ltd's National Provider Identifier (NPI) is 1700408390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kettle Creek Outfitters Ltd?
- Kettle Creek Outfitters Ltd is classified in the NPPES registry as Public Health or Welfare Agency (Agencies).
- Where is Kettle Creek Outfitters Ltd located?
- Kettle Creek Outfitters Ltd's practice location on file with NPPES is 88 Quiet Oaks Campground Ln, Cross Fork, PA 17729-9430.
- What is Kettle Creek Outfitters Ltd's phone number?
- The practice phone number listed in the NPPES registry for Kettle Creek Outfitters Ltd is (570) 502-2919.
- Who is the authorized official for Kettle Creek Outfitters Ltd?
- The authorized official listed on Kettle Creek Outfitters Ltd's NPPES record is David Flack, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kettle Creek Outfitters Ltd's NPI active?
- Yes — Kettle Creek Outfitters Ltd's NPI (1700408390) is active in the NPPES registry as of the last update on 2020-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.