Organization
WALNUT MANAGEMENT CORP
Active
Other names
Walnut Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI RENE CLARK (CEO)
(814) 533-0901
Entity
Organization
Contact information
Practice address
9617 LINCOLN HWY STE 109, BEDFORD, PA 15522-3712
(814) 624-0669
(814) 624-0679
Mailing address
226 MAIN ST, JOHNSTOWN, PA 15901-1509
(814) 533-0901
(814) 533-0196
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
3000007084
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009718520002
—
PA
Enumeration date
11/29/2006
Last updated
12/18/2025
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