NPIMap

Organization Active NPI

Primary Care Center of Mount Morris

Doing business as Primary Care Center of Mount Morris - Mobile Unit

  • Family Nurse Practitioner
  • Mount Morris, PA
National Provider Identifier
1649412941
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PRIMARY CARE CENTER OF MOUNT MORRIS
Doing business as
Primary Care Center of Mount Morris - Mobile Unit
Practice address
104 Front Street
Suite Van 1
Mount Morris, PA 15349-0495
Phone
(888) 454-5064
Fax
(724) 324-9005
NPI assigned
Apr 1, 2009
Last updated
Apr 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Robert Mt. Joy
Title
Chief Executive Officer
Phone
(724) 324-9001

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

104 Front Street
Suite Van 1
Mount Morris, PA 15349-0495

Mailing address

PO Box 495
Mount Morris, PA 15349-0495
Phone (724) 324-9001

Other names 1

  • Primary Care Center of Mount Morris - Mobile Unit Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1649412941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495",
            "city": "MOUNT MORRIS",
            "state": "PA",
            "postal_code": "153490495",
            "telephone_number": "724-324-9001",
            "fax_number": "724-324-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FRONT STREET",
            "address_2": "SUITE VAN 1",
            "city": "MOUNT MORRIS",
            "state": "PA",
            "postal_code": "153490495",
            "telephone_number": "888-454-5064",
            "fax_number": "724-324-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE CENTER OF MOUNT MORRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "MT. JOY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "724-324-9001"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Center of Mount Morris - Mobile Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Morris, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.