| The Pennylvania State University | |
|
University Health Services University Park PA 16802 | |
| (814) 863-3049 | |
| Not Available |
| Full Name | The Pennylvania State University |
|---|---|
| Speciality | Clinic/center |
| Location | University Health Services, University Park, Pennsylvania |
| Authorized Official Name and Position | David Lindstrom (CHIEF PRIVACY OFFICER) |
| Authorized Official Contact | 8148633049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Pennylvania State University 227 W Beaver Ave 103 Rider Building Ii State College PA 16801-4819 Ph: () - | The Pennylvania State University University Health Services University Park PA 16802 Ph: (814) 863-3049 |
| NPI Number | 1023132115 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023132115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
The Pennsylvania State University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 542 Eisenhower Rd., 308 Student Health Center, University Park, PA 16802 Phone: 814-865-4847 Fax: 814-865-7778 |