Active NPI
Broad Top Area Medical Center Inc
- Federally Qualified Health Center (FQHC)
- Huntingdon, PA
National Provider Identifier
1104733328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- BROAD TOP AREA MEDICAL CENTER INC
- Practice address
- 911 Mifflin St
Huntingdon, PA 16652-1817 - Phone
- (814) 643-3920
- NPI assigned
- Aug 25, 2026
- Organization subpart
- Yes
- Parent organization
- BROAD TOP AREA MEDICAL CENTER, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shani Reed
- Title
- Director, Provider Enrollment
- Phone
- (814) 506-8463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
911 Mifflin St
Huntingdon, PA 16652-1817
Mailing address
4133 Medical Center Dr
Broad Top, PA 16621-9001
Phone (814) 635-2916
Other names 1
- BTAMC Huntingdon Family Dentistry
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.
-
- Federally Qualified Health Center (FQHC)
- Broad Top, PA
- NPI 1063514453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1104733328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4133 MEDICAL CENTER DR",
"city": "BROAD TOP",
"state": "PA",
"postal_code": "166219001",
"telephone_number": "814-635-2916",
"fax_number": "814-635-2918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 MIFFLIN ST",
"city": "HUNTINGDON",
"state": "PA",
"postal_code": "166521817",
"telephone_number": "814-643-3920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROAD TOP AREA MEDICAL CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BROAD TOP AREA MEDICAL CENTER, INC",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "SHANI",
"authorized_official_title_or_position": "DIRECTOR, PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "814-506-8463"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BTAMC Huntingdon Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.