NPIMap

Organization Active NPI

JC Blair Memorial Hospital

  • Gastroenterology Physician
  • Huntingdon, PA
National Provider Identifier
1164049573
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
JC BLAIR MEMORIAL HOSPITAL
Practice address
900 Bryan St Ste 7
Huntingdon, PA 16652-2413
Phone
(814) 643-1141
Fax
(814) 643-9451
NPI assigned
Jul 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Toni Hetrick
Title
Insurance Credentialing Technician
Phone
(814) 643-8295

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

900 Bryan St Ste 7
Huntingdon, PA 16652-2413

Mailing address

1225 Warm Springs Ave
Huntingdon, PA 16652-2398
Phone (814) 643-1141

Other names 1

  • Penn Highlands Huntingdon Gastroenterology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
J C Blair Memorial Hosp31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1164049573",
    "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": "166522398",
            "telephone_number": "814-643-1141",
            "fax_number": "814-643-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BRYAN ST STE 7",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522413",
            "telephone_number": "814-643-1141",
            "fax_number": "814-643-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC BLAIR MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "HETRICK",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "INSURANCE CREDENTIALING TECHNICIAN",
        "authorized_official_telephone_number": "814-643-8295"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Highlands Huntingdon Gastroenterology",
            "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 Jul 1, 2020; 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.