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Organization

CURTIS TIPPETT PENN MED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CURTIS A TIPPETT (OWNER)
(814) 946-9094
Entity
Organization

Contact information

Practice address
2331 BROAD AVE, ALTOONA, PA 16601-1937
(814) 946-9094
(814) 946-9317
Mailing address
2331 BROAD AVE, ALTOONA, PA 16601-1937
(814) 946-9094
(814) 946-9317

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000004426
PA
332BC3200X
Customized Equipment (DME)
6000004426
PA
332BD1200X
Dialysis Equipment & Supplies (DME)
6000004426
PA
332BN1400X
Nursing Facility Supplies (DME)
6000004426
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
6000004426
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
6000004426
PA
335E00000X
Prosthetic/Orthotic Supplier
6000004426
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1016775800001
PA
Enumeration date
12/18/2007
Last updated
06/19/2008
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