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2309 Stafford Avenue Opco, LLC

Health Service Clinic/Center in Scranton, PA · enumerated 2025 · authorized official Jennifer Mellon, Vp Compliance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528928389

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Registry record

Entity type Organization (Type 2)
Legal business name 2309 Stafford Avenue Opco, LLC
Practice address 2309 Stafford Ave, Scranton, PA, 18505
Enumeration date Nov 14, 2025
Last updated in NPPES Nov 17, 2025

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jennifer Mellon
Title Vp Compliance

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-11-17. Verify at npiregistry.cms.hhs.gov.
Where is 2309 Stafford Avenue Opco, LLC located?
The practice location on file with NPPES is in Scranton, PA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-17.