Organization
MOUNT NITTANY HEALTH VENTURES
Active
Other names
Mount Nittany Health Outpatient Endoscopy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN J ROACH (CFO)
(814) 234-6148
Entity
Organization
Contact information
Practice address
164 GREENVIEW DRIVE, STATE COLLEGE, PA 16803
(814) 231-7000
(814) 238-0790
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6702
(814) 231-7000
(814) 238-0790
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QE0800X
Endoscopy Clinic/Center
—
—
Other
Enumeration date
02/14/2024
Last updated
03/11/2026
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