Provider Demographics
NPI:1578559647
Name:CITY OF WILKES BARRE
Entity Type:Organization
Organization Name:CITY OF WILKES BARRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DELANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-208-4260
Mailing Address - Street 1:PO BOX 320
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18512-0320
Mailing Address - Country:US
Mailing Address - Phone:570-341-9340
Mailing Address - Fax:570-341-3237
Practice Address - Street 1:1020 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18705-1853
Practice Address - Country:US
Practice Address - Phone:570-208-4112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA031683416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0492OtherQUALMED
200526OtherBCBS OF PA BLUE SHIELD
PA0492OtherACS NET COMMERCIAL
1105166OtherKEYSTONE MERCY HMO DPA
590000772OtherUNITED HC RR MEDICARE
PA0492OtherACS HEALTH NET HMO MDC
PA0492OtherPHS HEALTH PLAN HMO MDC
20005968OtherAMERIHEALTH MERCY HMO DPA
077895OtherFIRST PRIORITY HEALTH
108334OtherHEALTH PARTNERS HMO DPA
863165OtherUMWA HEALTH & RETIREMENT
PA008461930003Medicaid
086316500OtherFEDERAL BLACK LUNG
43244OtherGHP
119571300OtherACS BENEFITS
119571300OtherDEPT OF LABOR WORK COMP
PA0492OtherPHS HEALTH PLAN COMMERICA
PA008461930003Medicaid