# MID VALLEY HOSPITAL ASSOC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MID VALLEY HOSPITAL ANESTHESIOLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821011222
- **Authorized official:** JAMES BRITTAIN (CFO)
- **Authorized official phone:** (570) 340-2991

## Contact information

- **Practice address:** 1400 MAIN ST, PECKVILLE, PA 18452-2009
- **Practice address phone:** (570) 383-5500
- **Mailing address:** 400 E 10TH ST, WACONIA, MN 55387-4552
- **Mailing address phone:** (952) 442-9770
- **Mailing address fax:** (952) 442-3621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | PA | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 03/11/2009