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PENNSYLVANIA WESTERN UNIVERSITY
NPI 1033919097
Internal Medicine - Infectious Disease in Clarion, PA

Active since March 18, 2025CLIA 39D2052664 · Waiver
1008 S 5TH AVE, CLARION, PA 16214(814) 297-8220(814) 297-8381 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pennsylvania Western University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENNSYLVANIA WESTERN UNIVERSITY (NPI 1033919097) is a healthcare organization registered as an infectious disease in Clarion, Pennsylvania and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Elizabeth Rae Kundick, Fiscal Technician, as its authorized official.

NPPES Registry Identity

NPI1033919097
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NamePENNSYLVANIA WESTERN UNIVERSITY
Location Address1008 S 5TH AVEClarion, PA 16214-8676
Mailing Address1008 S 5th AveClarion, PA 16214-8676 · (814) 297-8220 · Fax (814) 297-8381
Phone(814) 297-8220
Fax(814) 297-8381
Organization SubpartNo
Authorized OfficialElizabeth Rae KundickFiscal Technician · (814) 297-8220
Enumeration DateMarch 18, 2025
NPPES CertifiedMarch 18, 2025
✔ NPI 1033919097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1008 S 5TH AVE, Clarion, PA 16214
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2052664

Pennsylvania Western University · Clarion, PA
Active · expires Jan 15, 2027
CLIA Number39D2052664
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorDr. Elias Shattahi
Laboratory Phone(814) 297-8220
Laboratory LocationPennsylvania Western University1008 S 5th Ave Suite 201, Clarion, PA 16214
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARITY HANSFORD
Advanced Practice Midwife
1008 S 5TH AVE
CLARION, PA 16214
Clarion County (814) 223-9280
PINNACLE HEALTH SERVICES LLC
Internal Medicine (Pulmonary Disease)
1008 S 5TH AVE, SUITE 101
CLARION, PA 16214
Clarion County (814) 227-2244
JOHN H MYERS D.O.
Obstetrics & Gynecology
1008 S 5TH AVE, SUITE 203
CLARION, PA 16214
Clarion County (814) 226-8800
BART MATSON
Obstetrics & Gynecology
1008 S 5TH AVE, SUITE 203
CLARION, PA 16214
Clarion County (814) 223-9280
COURTNEY ENTERLINE
Physician Assistant
1008 S 5TH AVE, SUITE 203
CLARION, PA 16214
Clarion County (814) 223-9280
DUBOIS REGIONAL MEDICAL CENTER
Internal Medicine
1008 S 5TH AVE
CLARION, PA 16214
Clarion County (814) 375-3770
ALLERGY & ASTHMA CLINIC INC.
Allergy & Immunology
1008 S 5TH AVE, CRICKLEWOOD CENTER STE. 201
CLARION, PA 16214
Clarion County (814) 226-1599
MS. WENDY J TERWILLIGER MA PSYCHOLOGIST
Psychologist
1008 S 5TH AVE, SUITE 102
CLARION, PA 16214
Clarion County (412) 370-4891

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pennsylvania Western University's NPI number?

The NPI number for Pennsylvania Western University is 1033919097. It was assigned to this organization in the NPPES registry on March 18, 2025.

Where is Pennsylvania Western University located?

Pennsylvania Western University is located at 1008 S 5th Ave, Clarion, PA 16214. The listed phone number is (814) 297-8220.

What is Pennsylvania Western University's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Does Pennsylvania Western University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2052664) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pennsylvania Western University was last updated on March 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.