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1201 Rural Avenue Operations LLC

Skilled Nursing Facility in Williamsport, PA · enumerated 2007 · authorized official Michael Berg, Secretary.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1932381258

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Registry record

Entity type Organization (Type 2)
Legal business name 1201 Rural Avenue Operations LLC
Other name <Unavail>
Practice address 1201 Rural Ave, Williamsport, PA, 17701
Phone (570) 323-4340
Fax (570) 323-0836
Enumeration date Nov 28, 2007
Last updated in NPPES Jun 26, 2025

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 185502 (PA) Primary

Authorized official

Name Michael Berg
Title Secretary
Phone (610) 444-6350

Other identifiers

Identifier Type State Issuer
1025718340001 Medicaid PA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for 1201 Rural Avenue Operations LLC?
The NPI for 1201 Rural Avenue Operations LLC is 1932381258, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for 1201 Rural Avenue Operations LLC?
NPPES lists Michael Berg (Secretary) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-26.