Healthcare Provider Details

I. General information

NPI: 1821933433
Provider Name (Legal Business Name): MATILDA HEALTH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24082 ROUTE 35 N
MIFFLINTOWN PA
17059-7926
US

IV. Provider business mailing address

1255 UNION ST NE FL 7
WASHINGTON DC
20002-7042
US

V. Phone/Fax

Practice location:
  • Phone: 717-915-6801
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PHILLIP MITCHELL
Title or Position: OWNER
Credential:
Phone: 720-480-9613