NPIMap

Organization Active NPI

The Pennylvania State University

  • Clinic/Center
  • University Park, PA
National Provider Identifier
1023132115
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE PENNYLVANIA STATE UNIVERSITY
Practice address
University Health Services
University Park, PA 16802
Phone
(814) 863-3049
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David Lindstrom
Title
Chief Privacy Officer
Phone
(814) 863-3049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

University Health Services
University Park, PA 16802

Mailing address

227 W Beaver Ave
103 Rider Building II
State College, PA 16801-4819

National Provider Directory

National Provider Directory
Tax ID family
The Pennsylvania State University College of Medicine11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

227 W Beaver Ave
Ste 103
State College, PA 16801

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023132115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W BEAVER AVE",
            "address_2": "103 RIDER BUILDING II",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY HEALTH SERVICES",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "16802",
            "telephone_number": "814-863-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PENNYLVANIA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINDSTROM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF PRIVACY OFFICER",
        "authorized_official_telephone_number": "814-863-3049",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.