Organization
WALNUT MANAGEMENT CORPORATION
Active
Other names
Walnut Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A. KAISER RRT (DIRECTOR)
(814) 533-0901
Entity
Organization
Contact information
Practice address
210 OHIO ST, SUITE C, BOSWELL, PA 15531-1245
(814) 629-5374
(814) 629-5375
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
3000008097
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009718520002
—
PA
Enumeration date
02/22/2007
Last updated
05/10/2011
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