MEDICARE: MOUNT UNION AREA MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1063477859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNT UNION AREA MEDICAL CENTER

Provider Business Mailing Address
First Line	:	100 S PARK ST
Second Line	:
City	:	MOUNT UNION
State	:	PA
Zip	:	17066-1361
Country	:	US
Telephone Number	:	814-542-8627
Fax Number	:	814-542-5444

Provider Business Practice Location Address
First Line	:	100 S PARK ST
Second Line	:
City	:	MOUNT UNION
State	:	PA
Zip	:	17066-1361
Country	:	US
Telephone Number	:	814-542-8627
Fax Number	:	814-542-5444

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. WENDY M WRIGHT
Credential	:
Telephone Number	:	814-542-8627

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	08/22/2020

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