Organization Name: | PENNSYLVANIA STATE UNIVERSITY |
NPI Number: | 1184992554 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NIMISHA MUTTIAH (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 110 Ford Bldg The Pennsylvania State University University Park |
State: | PA US |
Postal Code: | 168023000 |
Phone Number: | 8148655414 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2011 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305S00000X |
License Number: | SL010567 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Point of Service |
Taxonomy Specialization: | |
Taxonomy Definition: | This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |