Mature Resources Foundation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MATURE RESOURCES FOUNDATION

Practice address

1924 Daisy Street Ext Rear Suitea
Clearfield, PA 16830-3201

Phone

(814) 765-2695

NPI assigned

Feb 24, 2022

Organization subpart

Yes

Parent organization

MATURE RESOURCES FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Maureen Mills

Title

Credentialing Specialist

Phone

(814) 577-9385

Specialties & licenses 1

Addresses

Other names 1

• Susquehanna Wellness Clinic Doing business as

Part of

Mature Resources Foundation

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mature Resources Foundation

  • Family Medicine Physician
  • Frenchville, PA
  • NPI 1447861521
  NPPES parent name

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1487300893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986500",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986500",
            "telephone_number": "814-765-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 DAISY STREET EXT REAR SUITEA",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303201",
            "telephone_number": "814-765-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATURE RESOURCES FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATURE RESOURCES FOUNDATION",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "814-577-9385"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susquehanna Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison Jene Marshall, PT
• Olivia Lora Martin-Call, LSW
• Shawn Thomas Maruschak, LPN
• Matthew C. Rich Chiropractic LLC
• Katelyn Marie Matthews
• Jenny G Mays, CRNP
• Lamanda McCracken
• Patricia Ann McCullough, LCSW
• Emily McGarvey, MT-BC
• Bridgett Ann McKinney, LPN

• Internal Medicine Physician in Clearfield, PA
• Providers in Clearfield, 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 Feb 24, 2022; 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.