MOUNT NITTANY MEDICAL CENTER
NPI 1194521302
Clinic/Center in State College, PA

NPI Status: Active since February 20, 2025

Contact Information

155 WELLNESS WAY
STATE COLLEGE, PA
ZIP 16803
Phone: (814) 231-7000

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  • Organization
  • Clinic/Center
  • CLIA Number: 39D0185056
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

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. The healthcare provider is registered in the NPI registry with number 1194521302 assigned on February 2025. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Mount Nittany Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Bryan Roach (Cfo)

NPI
1194521302
Provider Name
MOUNT NITTANY MEDICAL CENTER
Entity Type
Organization
Location Address
155 WELLNESS WAY STATE COLLEGE, PA 16803
Location Phone
(814) 231-7000
Mailing Address
155 WELLNESS WAY STATE COLLEGE, PA 16803
Mailing Phone
(814) 231-7000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2025
Last Update Date
07-23-2025
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Location Map

Secondary Locations

  • 235 Wellness Way
    State College, PA 16803
    (814) 231-7000

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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RH0003XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology & Oncology

 
2282N00000XHospitals

General Acute Care Hospital

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRYAN ROACH

Authorized Official Title
CFO
Authorized Official Phone
(814) 231-7011

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
39D0185056
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. SARAH J. CARROLL
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Mount Nittany Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for MOUNT NITTANY MEDICAL CENTER

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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 1194521302, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 5 → 10 → 1 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 1 + 0 + 2 + 2 + 3 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1194521302.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology (Pain Medicine)
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Internal Medicine
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Psychiatric Unit
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Nurse Practitioner
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Physician Assistant
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Physician Assistant
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Physician Assistant
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Hospitalist
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Hospitalist
155 WELLNESS WAY
STATE COLLEGE, PA 16803
General Acute Care Hospital
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Family Medicine
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Physician Assistant (Medical)
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Nurse Practitioner (Gerontology)
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Nurse Practitioner (Family)
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Physician Assistant (Medical)
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Emergency Medicine
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Physician Assistant
155 WELLNESS WAY
STATE COLLEGE, PA 16803
General Acute Care Hospital
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Pathology (Anatomic Pathology & Clinical Pathology)
155 WELLNESS WAY
STATE COLLEGE, PA 16803
Pathology (Anatomic Pathology & Clinical Pathology)
155 WELLNESS WAY
STATE COLLEGE, PA 16803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194521302, enumerated as an "organization" on February 20, 2025.

The provider is located at 155 WELLNESS WAY STATE COLLEGE, PA 16803 and the phone number is (814) 231-7000.

Clinic/Center with taxonomy code 261Q00000X.