NPIMap

Organization Active NPI

Penn State Altoona Health and Wellness Center

  • Student Health Clinic/Center
  • Altoona, PA
National Provider Identifier
1770916603
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
PENN STATE ALTOONA HEALTH AND WELLNESS CENTER
Practice address
3000 Ivyside Park
Altoona, PA 16601-3777
Phone
(814) 949-5540
NPI assigned
Aug 14, 2013
Organization subpart
Yes
Parent organization
THE PENNSYLVANIA STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Joyce Haney
Title
Director of Procurement Services
Phone
(814) 863-0274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

3000 Ivyside Park
Altoona, PA 16601-3777

Mailing address

3000 Ivyside Park
Altoona, PA 16601-3777
Phone (814) 949-5540

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0921159Penn State Altoona Health Center3000 Ivyside Park, Altoona, PA 16601Provider-performed microscopyJul 10, 2027

National Provider Directory

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

Other organizations with this tax ID 10

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

Locations

3000 Ivyside Park
Altoona, PA 16601
Phone (814) 949-5235

1700 Old Gatesburg Rd
Ste 310
State College, PA 16803
Phone (814) 237-3122

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1770916603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 IVYSIDE PARK",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013777",
            "telephone_number": "814-949-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 IVYSIDE PARK",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013777",
            "telephone_number": "814-949-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN STATE ALTOONA HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PENNSYLVANIA STATE UNIVERSITY",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "DIRECTOR OF PROCUREMENT SERVICES",
        "authorized_official_telephone_number": "814-863-0274"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.