Mid-State Medical Services, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MID-STATE MEDICAL SERVICES, INC

Practice address

601 N Front St
Philipsburg, PA 16866-2303

Phone

(814) 342-7399

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Lawrence G Adams

Title

Owner President

Phone

(814) 342-7399

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1205035276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N FRONT ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662303",
            "telephone_number": "814-342-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FRONT ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662303",
            "telephone_number": "814-342-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-STATE MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER  PRESIDENT",
        "authorized_official_telephone_number": "814-342-7399"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "738835",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015973600009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna McCliment
• Becky Jo McCord, CRNP-FNP-BC
• Nicole Merrick
• Melissa Michael, CRNP
• Mid State Medical Inc
• Akinola Mobolaji, MSN, APRN, PMHNP-BC
• Denise Michelle Moore, LPC
• Hannah Morgan, PHARMD
• Moshannon Valley EMS
• Moshannon Valley Pharmacy Inc

• Internal Medicine Physician in Philipsburg, PA
• Providers in Philipsburg, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.