Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Children's Service Center of Wyoming Valley, Inc

Organization Family Medicine Physician · NPI 1710617857

Children's Service Center of Wyoming Valley, Inc is a Family Medicine Physician in Wilkes Barre, Pennsylvania. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

335 S Franklin St Bldg E
Wilkes Barre, PA 18702-3808
Phone: (570) 301-0924
Fax: (570) 505-6224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1710617857
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren's Service Center of Wyoming Valley Inc
Authorized official Sharon Vivian — Cfo · (570) 825-6425
Other names Conyngham Primary Health Care Center
NPI enumeratedJune 13, 2022
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address335 S Franklin St, Wilkes Barre, PA 18702-3808

Other providers in Wilkes Barre