Organization
CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
Active
Organization
CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
Active
Parent organization
MILLCREEK MANOR
Other names
Rural Health Clinic of Meadville
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLCREEK MANOR
Authorized official
JAMES LIN (PRESIDENT)
(814) 602-7783
Entity
Organization
Contact information
Practice address
16954 CONNEAUT LAKE RD, MEADVILLE, PA 16335-3738
(814) 844-2858
Mailing address
5535 PEACH ST, ERIE, PA 16509-2603
(814) 844-2858
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/07/2025
Last updated
10/13/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up