Healthcare Provider Details

I. General information

NPI: 1881886596
Provider Name (Legal Business Name): GUTHRIE CLINIC, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 SULLIVAN ST
CANTON PA
17724-1729
US

IV. Provider business mailing address

1 GUTHRIE SQ
SAYRE PA
18840-1625
US

V. Phone/Fax

Practice location:
  • Phone: 570-673-3197
  • Fax: 570-673-8297
Mailing address:
  • Phone: 570-888-5858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES C. ARMSTRONG
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 570-882-3280