| Organization Name: | TIOGA HEALTH CARE PROVIDERS, INC |
| NPI Number: | 1023458882 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD M GILBERT (CFO) |
| Mailing Address: | 32-36 Central Ave Wellsboro |
| State: | PA US |
| Postal Code: | 169011840 |
| Phone Number: | 5707230100 |
| Fax Number: | |
| NPI Enumeration Date: | 06/26/2013 |
| NPI Last Update Date: | 03/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |