PENN STATE ALTOONA HEALTH AND WELLNESS CENTER
NPI 1770916603
Clinic/Center - Student Health in Altoona, PA

NPI Status: Active since August 14, 2013

Contact Information

3000 IVYSIDE PARK
ALTOONA, PA
ZIP 16601
Phone: (814) 949-5540

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  • Organization
  • Clinic/Center
  • Student Health
  • CLIA Number: 39D0921159
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 07-10-2025

About PENN STATE ALTOONA HEALTH AND WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Penn State Altoona Health And Wellness Center, a primary care provider established in Altoona, Pennsylvania operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1770916603 assigned on August 2013. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Joyce Haney (Director Of Procurement Services)

NPI
1770916603
Provider Name
PENN STATE ALTOONA HEALTH AND WELLNESS CENTER
Entity Type
Organization
Location Address
3000 IVYSIDE PARK ALTOONA, PA 16601
Location Phone
(814) 949-5540
Mailing Address
3000 IVYSIDE PARK ALTOONA, PA 16601
Mailing Phone
(814) 949-5540
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-14-2013
Last Update Date
08-14-2013
Code Navigator

A primary care provider (PCP) like Penn State Altoona Health And Wellness Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Student Health

Taxonomy Code
261QS1000X
Type
Ambulatory Health Care Facilities

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

JOYCE HANEY

Authorized Official Title
DIRECTOR OF PROCUREMENT SERVICES
Authorized Official Phone
(814) 863-0274

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
39D0921159
Facility Type
School/Student Health Service
Certificate Effective Date
July 11, 2023
Certificate Expiration Date
July 10, 2025
Laboratory Director
DR. REGINO J. FLORES
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Penn State Altoona Health And Wellness 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770916603
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401811260
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 8 + 1 + 1 + 2 + 6 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1770916603 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922171040MRS. JAMIE LEE PYO MS
Individual
Counselor (Professional)3000 IVYSIDE PARK SHEETZ BUILDING
ALTOONA, PA 16601
(814) 949-5540
1831419878 HAROLD R PARTSCH CRNP
Individual
Nurse Practitioner (Adult Health)3000 IVYSIDE PARK
ALTOONA, PA 16601
(814) 949-5540
1124338173 MELISSA EILENBERGER
Individual
Physician Assistant3000 IVYSIDE PARK
ALTOONA, PA 16601
(814) 949-5540
1417087925MRS. OLANA LYNN HEDRICK-SHEAFFER MS & ATC
Individual
Personal Emergency Response Attendant3000 IVYSIDE PARK PENN STATE ALTOONA COLLEGE
ALTOONA, PA 16601
(814) 949-5235

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770916603, enumerated in the NPI registry as an "organization" on August 14, 2013

The provider is located at 3000 Ivyside Park Altoona, Pa 16601 and the phone number is (814) 949-5540

This medical organization specializes in Clinic/Center with taxonomy code 261QS1000X with a focus in Student Health

The provider's CLIA number is 39D0921159 for a "school/student health service" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued 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..

This NPI record was last updated on August 14, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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