Organization
MEADVILLE MEDICAL CENTER
Active
Other names
Meadville Workplace Health
Organization subpart
No
Provider details
NPI number
Authorized official
RENATO J SUNTAY (CFO)
(814) 333-5007
Entity
Organization
Contact information
Practice address
11277 VERNON PL STE 101, MEADVILLE, PA 16335-3718
(814) 333-5503
(814) 333-5925
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5503
(814) 333-5925
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100752115-0097
—
PA
Enumeration date
08/11/2014
Last updated
01/09/2020
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