Organization Active NPI

Huntingdon-Bedford-Fulton Area Agency on Aging

  • Case Management Agency
  • Bedford, PA
National Provider Identifier
1073001541
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HUNTINGDON-BEDFORD-FULTON AREA AGENCY ON AGING
Practice address
240 S Wood St
Bedford, PA 15522-1453
Phone
(814) 623-8148
Fax
(814) 623-5929
NPI assigned
Apr 30, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Connie Marie Brode
Title
Executive Director
Phone
(814) 623-8148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X PA Primary

Addresses

Primary practice location

240 S Wood St
Bedford, PA 15522-1453

Mailing address

PO Box 46
Bedford, PA 15522-0046
Phone (814) 623-8148

Other identifiers 1

IdentifierTypeStateIssuer
1000042180003MedicaidPA

National Provider Directory

National Provider Directory

Locations

240 S Wood St
Bedford, PA 15522
Phone (814) 623-8148

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1073001541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155220046",
            "telephone_number": "814-623-8148",
            "fax_number": "814-623-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S WOOD ST",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155221453",
            "telephone_number": "814-623-8148",
            "fax_number": "814-623-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGDON-BEDFORD-FULTON AREA AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BRODE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-623-8148",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000042180003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.