# MEADVILLE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MMC AUDIOLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215773080
- **Authorized official:** RENATO J SUNTAY (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (814) 333-5030

## Contact information

- **Practice address:** 11277 VERNON PL, STE 1400, MEADVILLE, PA 16335-3717
- **Practice address phone:** (814) 333-5100
- **Practice address fax:** (814) 333-5103
- **Mailing address:** 1034 GROVE ST, MEADVILLE, PA 16335-2945
- **Mailing address phone:** (814) 333-5100
- **Mailing address fax:** (814) 333-5103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |

## Other

- **Enumeration date:** 07/02/2024
- **Last updated:** 02/27/2025