# MEADVILLE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIBERTY STREET
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255180329
- **Authorized official:** RENATO J SUNTAY (CFO)
- **Authorized official phone:** (814) 333-5030

## Contact information

- **Practice address:** 751 LIBERTY ST, MEADVILLE, PA 16335-2591
- **Practice address phone:** (814) 333-5217
- **Practice address fax:** (814) 333-5468
- **Mailing address:** 1034 GROVE ST, MEADVILLE, PA 16335-2945
- **Mailing address phone:** (814) 333-5217
- **Mailing address fax:** (814) 333-5468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/13/2024
- **Last updated:** 05/13/2024