MOUNT NITTANY HEALTH VENTURES – NPI #1689439283
Clinic/Center

MOUNT NITTANY HEALTH VENTURES is an AHC clinic located in STATE COLLEGE, PA. NPPES has assigned the NPI number 1689439283 to MOUNT NITTANY HEALTH VENTURES on February 14, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Mar 11, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNT NITTANY HEALTH VENTURES below.

NPI Profile for
MOUNT NITTANY HEALTH VENTURES

NPI Number
1689439283
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNT NITTANY HEALTH VENTURES
Primary location
164 GREENVIEW DRIVE
STATE COLLEGE, PA 16803
Phone: (814) 231-7000 Fax: (814) 238-0790
Mailing address
155 WELLNESS WAY
STATE COLLEGE, PA 16803-6702
Phone: (814) 231-7000 Fax: (814) 238-0790
Organization Subpart
No
Authorized Official
BRYAN ROACH
CFO
Phone: (814) 234-6148
Updated
Certification Date
Mar 11, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
261QE0800X
- Clinic/Center / Endoscopy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.