Organization
MOUNT NITTANY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN ROACH (CFO)
(814) 234-6148
Entity
Organization
Contact information
Practice address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6797
(814) 231-7000
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6702
(814) 231-7000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
550301
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746550003
—
PA
Enumeration date
08/31/2005
Last updated
11/18/2025
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