Organization
MOUNT NITTANY MEDICAL CENTER
Active
Parent organization
MOUNT NITTANY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT NITTANY MEDICAL CENTER
Authorized official
BRYAN ROACH (CFO)
(814) 234-6148
Entity
Organization
Contact information
Practice address
2121 OLD GATESBURG RD STE 100, STATE COLLEGE, PA 16803-2290
(814) 231-7277
(814) 231-7098
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6702
(814) 231-7100
(814) 238-0790
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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