SUSQUEHANNA VENTURES INC. NPI 1861521627

NPI Information

  • NPI: 1861521627
  • Provider Name: SUSQUEHANNA VENTURES, INC.
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Other Name: SUSQUEHANNA HOME MEDICAL PO
  • Address: 1201 GRAMPIAN BLVD
    SUSQUEHANNA HOME MEDICAL PO
    WILLIAMSPORT, PA
    ZIP 17701
  • Phone: (570) 320-7660

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NPI Details

SUSQUEHANNA VENTURES, INC. is a prosthetic orthotic supplier in Williamsport, 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. SUSQUEHANNA VENTURES, INC. NPI is 1861521627. The provider is registered as an organization entity type.
The provider Other Name Is Susquehanna Home Medical Po.

The provider's business location address is:

1201 GRAMPIAN BLVD
SUSQUEHANNA HOME MEDICAL PO
WILLIAMSPORT, PA
ZIP 17701-900
Phone: (570) 320-7660
Fax: (570) 320-7659

The provider's authorized official is Charles Santangelo .
The authorized official title is Cfo and has the following contact phone number (570) 320-7661.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 8/22/2020.

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 License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierPP413352LPENNSYLVANIAYes

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
11007515570011MEDICAIDPENNSYLVANIA
2815788OTHERPENNSYLVANIABLUE CROSS FPH

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: 11/21/2025

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