Provider Demographics
NPI:1053409813
Name:SUMMIT FAMILY CARE P.C.
Entity type:Organization
Organization Name:SUMMIT FAMILY CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/BUSINESS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:KAREHA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:570-586-3300
Mailing Address - Street 1:211 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-1087
Mailing Address - Country:US
Mailing Address - Phone:570-586-3300
Mailing Address - Fax:570-587-5798
Practice Address - Street 1:211 N STATE ST
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-1087
Practice Address - Country:US
Practice Address - Phone:570-586-3300
Practice Address - Fax:570-587-5798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA002668OtherFIRST PRIORITY
PA1500041OtherBLUE SHIELD
PA1500041OtherBLUE SHIELD
PAH81260Medicare UPIN