Organization
MID STATE MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE GLEN ADAMS MD (PRESIDENT OWNER)
(814) 342-7399
Entity
Organization
Contact information
Practice address
601 N FRONT ST, PHILIPSBURG, PA 16866-2303
(814) 342-7399
(814) 342-5470
Mailing address
601 N FRONT ST, PHILIPSBURG, PA 16866-2303
(814) 342-7399
(814) 342-5470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03168000
CAPITOL BLUE CROSS
PA
05
—
1014408560001
—
PA
01
—
1546735
GATEWAY HEALTH PLAN
PA
01
—
1775451
BLUE SHIELD
PA
01
—
358539
COVENTRY HEALTHCARE MANAG
PA
Enumeration date
01/25/2007
Last updated
09/11/2025
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