Provider Demographics
NPI:1063477859
Name:MOUNT UNION AREA MEDICAL CENTER
Entity Type:Organization
Organization Name:MOUNT UNION AREA MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:M
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-542-8627
Mailing Address - Street 1:100 S PARK ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT UNION
Mailing Address - State:PA
Mailing Address - Zip Code:17066-1361
Mailing Address - Country:US
Mailing Address - Phone:814-542-8627
Mailing Address - Fax:814-542-5444
Practice Address - Street 1:100 S PARK ST
Practice Address - Street 2:
Practice Address - City:MOUNT UNION
Practice Address - State:PA
Practice Address - Zip Code:17066-1361
Practice Address - Country:US
Practice Address - Phone:814-542-8627
Practice Address - Fax:814-542-5444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA393886Medicare ID - Type Unspecified