Healthcare Provider Details

I. General information

NPI: 1659285682
Provider Name (Legal Business Name): MEADVILLE MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2999 INNOVATION WAY
HERMITAGE PA
16148-7903
US

IV. Provider business mailing address

1034 GROVE ST
MEADVILLE PA
16335-2945
US

V. Phone/Fax

Practice location:
  • Phone: 724-983-1800
  • Fax: 724-983-0856
Mailing address:
  • Phone: 814-333-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateNULL

VIII. Authorized Official

Name: RENATO J SUNTAY
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 814-333-5030