Organization
MOUNT NITTANY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN ROACH (CFO)
(814) 231-7011
Entity
Organization
Contact information
Practice address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6701
(814) 231-7000
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6797
(814) 231-7000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
02/20/2025
Last updated
07/23/2025
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