MEADVILLE MEDICAL CENTER – NPI #1790477586
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

MEADVILLE MEDICAL CENTER is a provider located in MEADVILLE, PA. NPPES has assigned the NPI number 1790477586 to MEADVILLE MEDICAL CENTER on May 22, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

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 MEADVILLE MEDICAL CENTER below.

NPI Profile for
MEADVILLE MEDICAL CENTER

NPI Number
1790477586
Enumeration Date

(more than 3 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
MEADVILLE MEDICAL CENTER
Primary location
765 LIBERTY ST STE 307A
MEADVILLE, PA 16335-2566
Phone: (814) 373-4270 Fax: (814) 373-4273
Mailing address
1034 GROVE ST
MEADVILLE, PA 16335-2945
Phone: (814) 373-4270 Fax: (814) 373-4273
Organization Subpart
No
Authorized Official
CORY JACKSON
CONTROLLER
Phone: (814) 333-5766
Updated
Certification Date
May 22, 2023

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
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)

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.