# WALNUT MANAGEMENT CORPORATION

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

## Provider details

- **NPI number:** 1699828509
- **Authorized official:** MR. JOHN A KAISER RRT (DIRECTOR, WMS)
- **Authorized official phone:** (814) 533-0901

## Contact information

- **Practice address:** 307 S LOGAN BLVD, BURNHAM, PA 17009-1869
- **Practice address phone:** (717) 248-9938
- **Practice address fax:** (717) 248-9939
- **Mailing address:** 226 MAIN ST, JOHNSTOWN, PA 15901-1509
- **Mailing address phone:** (814) 533-0901
- **Mailing address fax:** (815) 533-0196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 3000007974 | PA | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 08/10/2012
