J C Blair Memorial Hospital
Organization Active NPI Family Medicine Physician · Cassville, PA
NPI 1013622653 · NPPES record last updated Jan 18, 2023
Key facts
- NPI
- 1013622653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- J C BLAIR MEMORIAL HOSPITAL
- Practice address
- 478 Seminary St
Cassville, PA 16623-6201 - Phone
- (814) 506-9060
- NPI assigned
- Jan 18, 2023
- Organization subpart
- No
Authorized official
- Name
- Jourdan Strishock
- Title
- Enrollment
- Phone
- (814) 375-6160
Owners & managing parties with NPI records 3
-
Margaret Mary Hallahan, D.O.
-
Mark R Minor, M.D.
-
Michael Joseph Sabatini, M.D., PH.D.
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 30
Related certifications (CCN) 12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Hospital certification: CCN 39U056
- Legal name
- J C BLAIR MEMORIAL HOSPITAL
- Doing business as
- PENN HIGHLANDS HUNTINGDON
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 12, 1909 in PA
- Enrollment address
- 1225 Warm Springs Avenue
Huntingdon, PA 16652-2350 - Hospital subgroups
- Swing-bed approved
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Jourdan D Strishock |
W-2 Managing Employee | Aug 1, 2021 | |
| Fred Price |
Corporate Officer |
Jan 1, 2016 | |
| Joseph E Myers |
Corporate Officer |
Jan 1, 2018 | |
| Corporate Director |
Jan 1, 2018 | ||
| W-2 Managing Employee |
Jan 1, 2018 | ||
| Maria Therese Pettinger |
Corporate Officer | Jul 1, 2022 | |
| Penn Highlands Healthcare, Inc. |
Operational/Managerial Control | Jun 1, 2019 | |
| Mark R Minor |
Corporate Officer | Jul 1, 2022 | |
| John Coursen |
Corporate Officer |
Jan 1, 2016 | |
| Peter M Hopsicker |
Corporate Officer | Jul 1, 2020 | |
| Allen Black |
Corporate Officer |
Jan 1, 2016 | |
| James a Toha |
Corporate Officer | Jul 1, 2022 | |
| Kathy a Hawn |
Corporate Officer |
May 23, 2018 | |
| Corporate Director |
May 23, 2018 | ||
| W-2 Managing Employee |
May 23, 2018 | ||
| Cheryl E Shope |
Corporate Officer | Jul 1, 2020 | |
| Michael J Sabatini |
Corporate Officer | Jul 1, 2020 | |
| Wanda L Curfman Barnett |
Corporate Officer |
May 23, 2018 | |
| Corporate Director |
May 23, 2018 | ||
| W-2 Managing Employee |
May 23, 2018 | ||
| Oscar W Johnston |
Corporate Officer | Jul 1, 2020 | |
| Antionette L Gray |
Corporate Officer | Jul 1, 2022 | |
| Margaret M Hallahan |
Corporate Officer | Jun 1, 2019 | |
| Frances Vaughn |
Corporate Officer |
Jan 1, 2016 | |
| Miranda Peruso |
Corporate Officer |
Jan 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120405000669 | PA | Part a Provider - Hospital | 2668378407 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Huntingdon, PA; Cassville, PA |
National Provider Directory
- Tax ID family
- J C Blair Memorial Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
478 Seminary St
Cassville, PA 16623-6201
Mailing address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-6160
Other names
- Penn Highlands Huntingdon
Other providers in Cassville, PA
- Broad Top Area Medical Center Inc
- J C Blair Memorial Hospital
- JC Blair Memorial Hospital
- Megan Maurer
- Jodi Marie Runk
- Della M. Werner
All providers in Cassville, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.