MATERNAL & FAMILY HEALTH SERVICES INC

Provider Demographics

• NPI: 1851545057
• Name: MATERNAL & FAMILY HEALTH SERVICES INC
• Entity Type: Organization
• Organization Name: MATERNAL & FAMILY HEALTH SERVICES INC
• Authorized Official - Title/Position: CHIEF FINANCIAL OFFICER
• Authorized Official - First Name: MARGARET
• Authorized Official - Last Name: MANLEY
• Authorized Official - Phone: 570-826-1777
• Mailing Address - Street 1: 15 PUBLIC SQ STE 600
• Mailing Address - City: WILKES BARRE
• Mailing Address - State: PA
• Mailing Address - Zip Code: 18701-1704
• 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
• Enumeration Date: 2008-11-14
• Last Update Date: 2024-01-09

Provider Licenses

State	License ID	Taxonomies
PA	MD055164L	261Q00000X
PA	MD056874L	261QA0005X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	261Q00000X	Ambulatory Health Care Facilities	Clinic/Center
No	261QA0005X	Ambulatory Health Care Facilities	Clinic/Center	Ambulatory Family Planning Facility

Provider Identifiers

State	Identifier ID	ID Type	Issuer
PA	1000073270009	Medicaid
PA	1007276870001	Medicaid
PA	101457773002	Medicaid
PA	1000073270020	Medicaid
PA	1007296090014	Medicaid
PA	1007296090015	Medicaid
PA	1007678420018	Medicaid
PA	1007678420033	Medicaid
PA	1007701310005	Medicaid
PA	1000073270024	Medicaid
PA	1007296090011	Medicaid
PA	1007332090336	Medicaid
PA	1000011720038	Medicaid
PA	1000011720041	Medicaid
PA	1007296090012	Medicaid
PA	1007296090013	Medicaid
PA	1007303410004	Medicaid
PA	1007678420032	Medicaid
PA	1007701310004	Medicaid
PA	1021823710001	Medicaid
PA	1000011720036	Medicaid
PA	1000073270015	Medicaid
PA	1007556720029	Medicaid
PA	1007678420029	Medicaid
PA	1007701310006	Medicaid
PA	1000073270013	Medicaid
PA	1007332090264	Medicaid
PA	1007556720027	Medicaid
PA	1007678420027	Medicaid
PA	1007701310007	Medicaid
PA	1007772030002	Medicaid
PA	1000073270011	Medicaid
PA	1000073270017	Medicaid
PA	1000073270025	Medicaid
PA	1004958310014	Medicaid
PA	1007767610008	Medicaid