Organization · Type 2 NPI

Mount Nittany Medical Center Health Services Inc

Pain Clinic/Center · State College, PA

NPI number 1407035553 Active

Practice location

911 University Drive
State College, PA 16801-6626

Call (814) 237-3360 Map

Mailing address

1800 East Park Avenue
State College, PA 16803-6797

Specialties and licenses

Taxonomy	Code	License
Pain Clinic/Center Primary	261QP3300X	None listed

Pain Clinic/Center: Definition to come...

Other pain clinic/center providers in State College

Mount Nittany Medical CenterPain Clinic/Center State College, PA NPI 1104991801

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NPI record

NPI: 1407035553
Entity type: Organization (Type 2)
Issued: Oct 25, 2007
Last updated: Oct 4, 2021
Status: Active
Subpart: Yes of Mount Nittany Medical Central Health Services Inc

Other names

<unavail>
MNMC Pain Management Clinic · other name
MNMC Pain Management Clinic · other name

Authorized official

Bryan Roach
CFO
(814) 234-6148

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407035553

Mount Nittany Medical Center Health Services Inc's National Provider Identifier is 1407035553, issued on Oct 25, 2007. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in State College, PA. The record was last updated on Oct 4, 2021.