Organization · Type 2 NPI

Mount Nittany Health Ventures

Ambulatory Surgical Clinic/Center · State College, PA

NPI number 1689439283 Active

Practice location

164 Greenview Drive
State College, PA 16803

Call (814) 231-7000 Map

Fax (814) 238-0790

Mailing address

155 Wellness Way
State College, PA 16803-6702

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed
Endoscopy Clinic/Center	261QE0800X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

Another provider at this address

Eric L. Emanski, MDOrthopaedic Surgery of the Spine Physician State College, PA NPI 1518233501

Other ambulatory surgical clinic/center providers in State College

See all in State College →

NPI record

NPI: 1689439283
Entity type: Organization (Type 2)
Issued: Feb 14, 2024
Last updated: Mar 11, 2026
Status: Active

Other names

<unavail>
Mount Nittany Health Outpatient Endoscopy · doing business as
Mount Nittany Health Outpatient Endoscopy · doing business as

Authorized official

Mr. Bryan J 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 1689439283

Mount Nittany Health Ventures's National Provider Identifier is 1689439283, issued on Feb 14, 2024. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in State College, PA. The record was last updated on Mar 11, 2026.