Provider Demographics
NPI:1043268568
Name:FAMILY PLANNING SERVICES OF SUN/ WOMEN'S HEALTH SERVICES OF MJ
Entity type:Organization
Organization Name:FAMILY PLANNING SERVICES OF SUN/ WOMEN'S HEALTH SERVICES OF MJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-523-3600
Mailing Address - Street 1:4612 WESTBRANCH HWY
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-6607
Mailing Address - Country:US
Mailing Address - Phone:570-523-3462
Mailing Address - Fax:570-524-4197
Practice Address - Street 1:4612 WESTBRANCH HWY
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-6607
Practice Address - Country:US
Practice Address - Phone:570-523-3462
Practice Address - Fax:570-524-4197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3423251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAFA925243OtherBLUE SHIELD PROVIDER #
PA02683900OtherBLUE CROSS PROVIDER #