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Organization

MEADVILLE MEDICAL CENTER

Active
Other names
MEADVILLE MEDICAL CENTER PHYSICIAN SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
RENATO J SUNTAY (CHIEF FINANCIAL OFFICER)
(814) 333-5030
Entity
Organization

Contact information

Practice address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 333-5081
(814) 333-5083
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5000
(814) 333-5640

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RG0100X
Gastroenterology Physician
207RI0200X
Infectious Disease Physician
207RP1001X
Pulmonary Disease Physician
207U00000X
Nuclear Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
207W00000X
Ophthalmology Physician
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
208000000X
Pediatrics Physician
2085R0202X
Diagnostic Radiology Physician
208600000X
Surgery Physician
213ES0103X
Foot & Ankle Surgery Podiatrist
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
05/07/2019
Last updated
04/01/2026
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