OrganizationActive
Children'S Service Center of Wyoming Valley, Inc
NPI 1710617857 · Federally Qualified Health Center (FQHC) · Wilkes Barre, PA
Provider details
- NPI number
- 1710617857
- 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
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
335 S Franklin St Bldg E
Wilkes Barre, PA 18702-3808
Phone: (570) 301-0924
Fax: (570) 505-6224
Approximate (ZIP-level) locationGet directions
Mailing address
335 S Franklin St
Wilkes Barre, PA 18702-3808
Other names (DBA / former)
- Other name
- Conyngham Primary Health Care Center
Registry dates
- Enumerated
- 2022-06-13
- 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.