Organization
MEADVILLE MEDICAL CENTER
Active
Organization
MEADVILLE MEDICAL CENTER
Active
Other names
Inpatient Drug and Alcohol
Organization subpart
No
Provider details
NPI number
Authorized official
RENATO J SUNTAY (CHIEF FINANCIAL OFFICER)
(814) 333-5031
Entity
Organization
Contact information
Practice address
1034 GROVE ST, INPATIENT DRUG AND ALCOHOL, MEADVILLE, PA 16335-2945
(814) 333-5810
(814) 333-5817
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5000
(814) 333-5640
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007521150053
—
PA
Enumeration date
01/23/2007
Last updated
04/11/2025
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