Mainline Medical Associates INC
Family Medicine in Altoona, PA. Organization (NPI-2).
NPI number1790796100
StatusActive
Last updated in NPPESOct 26, 2012
Details
- NPI
- 1790796100
- Entity type
- Organization (NPI-2)
- Legal business name
- Mainline Medical Associates INC
- Organization subpart
- No
- Enumeration date
- Aug 10, 2006
- Last updated
- Oct 26, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 291U00000X | Clinical Medical Laboratory | 010099A | PA |
Practice location
1400 9th AveAltoona, PA 16602-2415
Phone 814-941-8811 · Fax 814-941-8828
Mailing address
792 Gallitzin RdCresson, PA 16630-2213
Phone 814-886-8161 · Fax 814-886-2955
Authorized official
Val Mignogna
Practice Manager
8149418811
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