MEDICARE: MARCELLA ARMSTRONG

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200735	OTHER	PA	HIGHMARK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558413153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARCELLA ARMSTRONG

Provider Business Mailing Address
First Line	:	1416 E PLEASANT VALLEY BLVD
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16602-7290
Country	:	US
Telephone Number	:	814-943-1663
Fax Number	:	814-943-5063

Provider Business Practice Location Address
First Line	:	1416 E PLEASANT VALLEY BLVD
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16602-7290
Country	:	US
Telephone Number	:	814-943-1663
Fax Number	:	814-943-5063

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MARCELLA ARMSTRONG
Credential	:
Telephone Number	:	814-943-1663

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	06/24/2008

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