NPIMap

Organization Active NPI

Olean Medical Group Partnership

  • Multi-Specialty Clinic/Center
  • Port Allegany, PA
National Provider Identifier
1902229883
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
OLEAN MEDICAL GROUP PARTNERSHIP
Practice address
28 N Main St
Port Allegany, PA 16743-1324
Phone
(814) 642-0117
Fax
(814) 642-0121
NPI assigned
Jan 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Daniel Strauch
Title
Ceo
Phone
(716) 372-0141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

28 N Main St
Port Allegany, PA 16743-1324

Mailing address

28 N Main St
Port Allegany, PA 16743-1324
Phone (814) 642-0117

National Provider Directory

National Provider Directory
Tax ID family
Olean Medical GRP DME7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

28 N Main St
Port Allegany, PA 16743
Phone (814) 642-0117

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1902229883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N MAIN ST",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167431324",
            "telephone_number": "814-642-0117",
            "fax_number": "814-642-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N MAIN ST",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167431324",
            "telephone_number": "814-642-0117",
            "fax_number": "814-642-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEAN MEDICAL GROUP PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "STRAUCH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-372-0141"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Allegany, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.