MOUNT NITTANY MEDICAL CENTER
NPI 1104991801
Clinic/Center - Pain in State College, PA
NPI Status: Active since November 21, 2006
Contact Information
1700 OLD GATESBURG RD STE 100
STATE COLLEGE, PA
ZIP 16803
Phone: (814) 237-3360
Fax: (814) 231-7098
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Clinic/Center
- Pain
- CLIA Number: 39D2334736
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 11-30-2027
About MOUNT NITTANY MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Mount Nittany Medical Center, a provider established in State College, Pennsylvania operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1104991801 assigned on November 2006. The practitioner's primary taxonomy code is 261QP3300X with license number 550301 (PA). The provider is registered as an organization and their NPI record was last updated May 2026. The provider's
- NPI
- 1104991801
- Provider Legal Name
- MOUNT NITTANY MEDICAL CENTER
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1700 OLD GATESBURG RD STE 100 STATE COLLEGE, PA 16803
- Location Phone
- (814) 237-3360
- Location Fax
- (814) 231-7098
- Mailing Address
- 155 WELLNESS WAY STATE COLLEGE, PA 16803
- Mailing Phone
- (814) 234-6181
- Mailing Fax
- (814) 231-7098
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-21-2006
- Last Update Date
- 05-14-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Pain
- Taxonomy Code
- 261QP3300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 550301
- License State
- PA
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2334736
- Facility Type
- Hospital
- Certificate Effective Date
- December 01, 2025
- Certificate Expiration Date
- November 30, 2027
- Laboratory Director
- DR. SHREYA M. PATEL
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Mount Nittany Medical Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104991801, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
STATE COLLEGE, PA 16803
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104991801, enumerated as an "organization" on November 21, 2006.
The provider is located at 1700 OLD GATESBURG RD STE 100 STATE COLLEGE, PA 16803 and the phone number is (814) 237-3360.
Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.
