Organization
WALNUT MANAGEMENT CORP
Active
Other names
Walnut Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI RENE CLARK (CEO)
(814) 533-0901
Entity
Organization
Contact information
Practice address
1236 SCALP AVE, JOHNSTOWN, PA 15904-3136
(814) 254-4716
(814) 254-4752
Mailing address
226 MAIN ST, JOHNSTOWN, PA 15901-1509
(814) 533-0901
(814) 533-0196
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
3000007187
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009718520007
—
PA
Enumeration date
02/12/2007
Last updated
12/18/2025
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