Provider Demographics
NPI:1306072921
Name:CLINTON COUNTY HEALTHY COMMUNITIES
Entity type:Organization
Organization Name:CLINTON COUNTY HEALTHY COMMUNITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, CHES
Authorized Official - Phone:570-660-3339
Mailing Address - Street 1:266 HOGAN BLVD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MILL HALL
Mailing Address - State:PA
Mailing Address - Zip Code:17751-1928
Mailing Address - Country:US
Mailing Address - Phone:570-748-6450
Mailing Address - Fax:570-748-6451
Practice Address - Street 1:266 HOGAN BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:MILL HALL
Practice Address - State:PA
Practice Address - Zip Code:17751-1928
Practice Address - Country:US
Practice Address - Phone:570-748-6450
Practice Address - Fax:570-748-6451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare