Provider Demographics
NPI:1477852473
Name:MATERNAL & FAMILY HEALTH SERVICES INC
Entity Type:Organization
Organization Name:MATERNAL & FAMILY HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF FINANCE AND PLANN
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-826-1777
Mailing Address - Street 1:15 PUBLIC SQ
Mailing Address - Street 2:SUITE 600
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18701-1702
Mailing Address - Country:US
Mailing Address - Phone:570-826-1777
Mailing Address - Fax:570-823-3040
Practice Address - Street 1:15 PUBLIC SQ
Practice Address - Street 2:SUITE 600
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18701-1702
Practice Address - Country:US
Practice Address - Phone:570-826-1777
Practice Address - Fax:570-823-3040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015952050003Medicaid
PA1015952320003Medicaid
PA1015956170003Medicaid
PA1019189500002Medicaid
PA1027866780001Medicaid
PA1029708840001Medicaid
PA1015953680003Medicaid
PA1015956900003Medicaid
PA1029699180002Medicaid
PA1007678420038Medicaid
PA1029708840002Medicaid
PA1015827080003Medicaid
PA1025806000001Medicaid
PA1016105170002Medicaid
PA1027866780002Medicaid
PA1015952880003Medicaid
PA1015955820003Medicaid
PA1015957700003Medicaid
PA1016105620002Medicaid
PA1029699180001Medicaid