Organization Name: | PENNSYLVANIA STATE UNIVERSITY |
NPI Number: | 1255457057 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID LINDSTROM (PRIVACY OFFICER) |
Mailing Address: | 206 Ritenour Building University Park |
State: | PA US |
Postal Code: | 16802 |
Phone Number: | 8148653465 |
Fax Number: | 8148657778 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 11/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 04084 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |