NPIMap

Organization Active NPI

J C Blair Memorial Hospital

Doing business as Penn Highlands Huntingdon

  • Internal Medicine Physician
  • Huntingdon, PA
National Provider Identifier
1093558587
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
J C BLAIR MEMORIAL HOSPITAL
Doing business as
Penn Highlands Huntingdon
Practice address
1225 Warm Springs Ave
Huntingdon, PA 16652-2350
Phone
(814) 643-2290
NPI assigned
Jun 13, 2024
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN HIGHLANDS HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Interventional Cardiology PhysicianGroup: 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 3

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
JC Blaim Memorial Hos a31 organizations share this tax ID, including this one
Part of
Penn Highlands Healthcare

Other organizations with this tax ID 30

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

View all 30

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1093558587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WARM SPRINGS AVE",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522350",
            "telephone_number": "814-375-4200",
            "fax_number": "814-375-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WARM SPRINGS AVE",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522350",
            "telephone_number": "814-643-2290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Colonnade Blvd",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032668",
            "country_code": "US",
            "telephone_number": "582-220-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J C BLAIR MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "STRISHOCK",
        "authorized_official_first_name": "JOURDAN",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR/DELEGATED OFFIC",
        "authorized_official_telephone_number": "814-375-6160"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENN HIGHLANDS HUNTINGDON",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penn Highlands Huntingdon EKG Readers",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Penn Highlands State College EKG Readers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.