MEADVILLE PHYSICIAN SERVICES NPI 1619236056

NPI Information

NPI: 1619236056
Provider Name: MEADVILLE PHYSICIAN SERVICES

Former Legal Business Name: PRIMARY CARE SERVICES OF CRAWFORD COUNTY

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1034 GROVE ST
MEADVILLE, PA
ZIP 16335
Phone: (814) 373-2923
Get Directions

MEADVILLE PHYSICIAN SERVICES is a multi-specialty clinic center in Meadville, PA. MEADVILLE PHYSICIAN SERVICES NPI is 1619236056. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Primary Care Services Of Crawford County.

The provider's business location address is:

1034 GROVE ST
MEADVILLE, PA
ZIP 16335-945
Phone: (814) 373-2923
Fax: (814) 333-5187

The provider's authorized official is Renato Suntay .
The authorized official title is Cfo and has the following contact phone number (814) 333-5031.

The enumeration date for this NPI number is 5/4/2012 and was last updated on 4/2/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	No
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
3	207RI0200X	Internal Medicine	Infectious Disease	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	No
5	207Y00000X	Otolaryngology		No
6	208600000X	Surgery		No
7	213ES0103X	Podiatrist	Foot & Ankle Surgery	No
8	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DT1760	OTHER	PENNSYLVANIA	RR PTAN
2	0016541250027	MEDICAID	PENNSYLVANIA

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »