Organization
FHP MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LATTANZIO (OPERATIONS MANAGER)
(814) 495-7127
Entity
Organization
Contact information
Practice address
1300 RAILROAD ST, SUMMERHILL, PA 15958
(814) 495-5920
(814) 495-5924
Mailing address
550 LOCUST ST, PO BOX 307, ST MICHAEL, PA 15951
(814) 495-7127
(814) 495-5327
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8000001714
PA
Other
Enumeration date
03/06/2006
Last updated
08/22/2020
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