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 Family Medicine Physician · NPI 1790887057

Rural Health Corporation of Northeastern Pennsylvania is a Family Medicine Physician in Shickshinny, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

26 N Main St
Shickshinny, PA 18655-1302
Phone: (570) 704-4230
Fax: (570) 542-2580
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
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1790887057
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRural Health Corporation of Northeastern Pennsylvania
Authorized official Matthew Iskra — Cfo · (570) 825-8741
Other names Shickshinny Health Center; Shickshinny Health Center
NPI enumeratedSeptember 5, 2006
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing address276 E End Ctr, Wilkes Barre, PA 18702-6970

Other providers in Shickshinny