Active NPI
Huntingdon Healthcare, Inc
Doing business as Juniata Valley Medical Center
- Rural Health Clinic/Center
- Alexandria, PA
National Provider Identifier
1205867009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- HUNTINGDON HEALTHCARE, INC
- Doing business as
- Juniata Valley Medical Center
- Practice address
- 846 Medical Center Dr
Alexandria, PA 16611-0355 - Phone
- (814) 669-4444
- Fax
- (814) 669-1971
- NPI assigned
- Jul 6, 2006
- Organization subpart
- Yes
- Parent organization
- HUNTINGDON HEALTHCARE, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carla J Irvin
- Title
- Practice Administrator
- Phone
- (814) 386-1360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
846 Medical Center Dr
Alexandria, PA 16611-0355
Mailing address
PO Box 355
846 Medical Center Dr
Alexandria, PA 16611-0355
Phone (814) 669-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018907590007 | Medicaid | PA |
Other names 1
- Juniata Valley Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Rural health clinic certification: CCN 393436
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- UPMC HUNTINGDON HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jun 22, 2016
- Last certification
- Jun 2, 2022
- Ownership / control type
- 1B
- Facility address
- 846 Medical Center Drive
Alexandria, PA 16611 - Related CCNs
- 390073
National Provider Directory
National Provider Directory- Part of
- Huntingdon Healthcare Inc
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.
-
- Rural Health Clinic/Center
- Huntingdon, PA
- NPI 1689612137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306972800000",
"number": "1205867009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 355",
"address_2": "846 MEDICAL CENTER DR",
"city": "ALEXANDRIA",
"state": "PA",
"postal_code": "166110355",
"telephone_number": "814-669-4444",
"fax_number": "814-669-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "846 MEDICAL CENTER DR",
"city": "ALEXANDRIA",
"state": "PA",
"postal_code": "166110355",
"telephone_number": "814-669-4444",
"fax_number": "814-669-1971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTINGDON HEALTHCARE, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HUNTINGDON HEALTHCARE, INC",
"enumeration_date": "2006-07-06",
"last_updated": "2011-06-02",
"status": "A",
"authorized_official_last_name": "IRVIN",
"authorized_official_first_name": "CARLA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "814-386-1360"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018907590007",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Juniata Valley Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Alexandria, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.