Mainline Medical Associates Inc

LBN: Mainline Medical Associates Inc
Mainline Medical Associates Inc is an health care organization with primary practice located at 1400 9Th Ave , Altoona PA 16602-2415. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mainline Medical Associates Inc can be contacted via phone (814) 941-8811, or through Mignogna, Val via phone (814) 941-8811.

Contact Information

Primary practice address
1400 9Th Ave Altoona PA 16602-2415
Fax: (814) 941-8828
Website:
Authorized official contact:
Name: Mignogna, Val

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Laboratories / Clinical Medical Laboratory 291U00000X 010099A Pennsylvania

Profile Details

NPI number 1790796100
LBN Legal business name Mainline Medical Associates Inc
DBA Doing business as
Authorized official Mignogna, Val
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Oct 26th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790796100 NPPES
Pennsylvania MEDICAID 001746002
Pennsylvania Other 056175
Pennsylvania Other 056175

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