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MOUNT NITTANY MEDICAL CENTER NPI 1235339243


NPI Information

NPI: 1235339243
Provider Name: MOUNT NITTANY MEDICAL CENTER

Doing Business As: MOUNT NITTANY MEDICAL CENTER ORTHOTICS SUPPLIER

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
120 RADNOR RD
MNMC - ORTHOTICS
STATE COLLEGE, PA
ZIP 16801
Phone: (814) 231-7125
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MOUNT NITTANY MEDICAL CENTER is a prosthetic orthotic supplier in State College, PA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MOUNT NITTANY MEDICAL CENTER NPI is 1235339243. The provider is registered as an organization entity type.
The provider Is Doing Business As Mount Nittany Medical Center Orthotics Supplier.

The provider's business location address is:

120 RADNOR RD
MNMC - ORTHOTICS
STATE COLLEGE, PA
ZIP 16801-970
Phone: (814) 231-7125
Fax: (814) 238-4167

The provider's authorized official is Bryan Roach .
The authorized official title is Cfo and has the following contact phone number (814) 234-6148.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 10/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100746655 0020MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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