Organization
MEADVILLE MEDICAL CENTER
Active
Parent organization
MEADVILLE MEDICAL CENTER
Other names
Mind-Body Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEADVILLE MEDICAL CENTER
Authorized official
RENATO SUNTAY (CEO)
(814) 333-5031
Entity
Organization
Contact information
Practice address
18201 CONNEAUT LAKE RD, MEADVILLE, PA 16335-3757
(814) 333-5060
(814) 333-5067
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5060
(814) 333-5067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
02218
PA
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
DN000047
PA
133V00000X
Registered Dietitian
DN001984
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2006
Last updated
08/15/2023
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