# MEADVILLE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEADVILLE OB/GYN ASSOCIATES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235848987
- **Authorized official:** RENATO J SUNTAY (CFO)
- **Authorized official phone:** (814) 333-5030

## Contact information

- **Practice address:** 765 LIBERTY ST STE 202, MEADVILLE, PA 16335-2568
- **Practice address phone:** (814) 333-5888
- **Practice address fax:** (814) 333-5887
- **Mailing address:** 1034 GROVE ST, MEADVILLE, PA 16335-2945
- **Mailing address phone:** (814) 333-5888
- **Mailing address fax:** (814) 333-5887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2022
- **Last updated:** 03/26/2025