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

Rural Health Corporation of Northeastern Pennsylvania

Organization Pediatrics Physician · NPI 1477655744

Rural Health Corporation of Northeastern Pennsylvania is a Pediatrics Physician in Edwardsville, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

75 S Wyoming Ave Ste 2&3
Edwardsville, PA 18704-3103
Phone: (570) 704-4233
Fax: (570) 763-4489
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Pediatrics Physician Taxonomy 208000000X
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1477655744
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRural Health Corporation of Northeastern Pennsylvania
Authorized official Matthew Iskra — Cfo · (570) 825-8741
Other names Valley Medical
NPI enumeratedSeptember 5, 2006
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing address276 E End Ctr, Wilkes Barre, PA 18702-6970