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Contact Information

NULTON DIAGNOSTIC AND TREATMENT CENTER
220 COLLEGE PARK PLAZA
JOHNSTOWN, PA15904
 Phone: 814-266-0025
 Fax: 814-266-8745
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for NULTON DIAGNOSTIC AND TREATMENT CENTER

NPI Number 1467677831
LBN Legal business name NULTON DIAGNOSTIC AND TREATMENT CENTER
Authorized official LARRY NULTON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
PA License # 313430
PA Medicaid 1007324900004
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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