# WALNUT MANAGEMENT CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Walnut Medical Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164524435
- **Authorized official:** MRS. JODI RENE CLARK (CEO)
- **Authorized official phone:** (814) 533-0901

## Contact information

- **Practice address:** 226 MAIN ST., JOHNSTOWN, PA 15901-1509
- **Practice address phone:** (814) 533-0901
- **Practice address fax:** (814) 533-0196
- **Mailing address:** 226 MAIN ST, JOHNSTOWN, PA 15901-1509
- **Mailing address phone:** (814) 533-0901
- **Mailing address fax:** (814) 533-0196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 80000000542 | PA | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 1000002361 | PA | Yes |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 12/18/2025