J C Blair Memorial Hospital

Organization Active NPI Internal Medicine Physician · Huntingdon, PA

NPI 1093558587 · NPPES record last updated Jun 13, 2024

Key facts

NPI
1093558587
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
J C BLAIR MEMORIAL HOSPITAL
Practice address
1225 Warm Springs Ave
Huntingdon, PA 16652-2350
Phone
(814) 643-2290
NPI assigned
Jun 13, 2024
Organization subpart
Yes
Parent organization (as reported)
PENN HIGHLANDS HEALTHCARE

Authorized official

Name
Jourdan Strishock
Title
Compliance Director/Delegated Offic
Phone
(814) 375-6160

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031211000322 PA Part B Supplier - Clinic/Group Practice 2668378407 Receives reassigned benefits from 132 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: State College, PA; Huntingdon, PA

National Provider Directory

Tax ID family
J C Blair Memorial Hosp (31 organizations share this tax ID)
Part of
Penn Highlands Healthcare

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X
Interventional Cardiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RI0011X

Addresses

Primary practice location

1225 Warm Springs Ave
Huntingdon, PA 16652-2350

Mailing address

1225 Warm Springs Ave
Huntingdon, PA 16652-2350
Phone (814) 375-4200

Other practice location 1

239 Colonnade Blvd
State College, PA 16803-2668
Phone (582) 220-2345

Other names

  • PENN HIGHLANDS HUNTINGDON Doing business as
  • Penn Highlands Huntingdon EKG Readers Other name
  • Penn Highlands State College EKG Readers Other name

Other providers in Huntingdon, PA

All providers in Huntingdon, PA · Internal Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.