NPIMap

Organization Active NPI

Hyndman Area Health Center, Inc

Doing business as Johnstown Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Johnstown, PA
National Provider Identifier
1215770284
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HYNDMAN AREA HEALTH CENTER, INC
Doing business as
Johnstown Family Health Center
Practice address
227 Franklin St Ste 304
Johnstown, PA 15901-1916
Phone
(814) 634-4968
Fax
(814) 254-4020
NPI assigned
Jun 17, 2024
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Brian Stratta, MD
Title
Ceo, Cmo
Phone
(814) 709-9801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

227 Franklin St Ste 304
Johnstown, PA 15901-1916

Mailing address

1 Corporate Dr Ste 107
Bedford, PA 15522-7941

Other names 1

  • Johnstown Family Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240814000274 PA Part A Provider - Federally Qualified Health Center (FQHC) 5991614968 Practice locations: Johnstown, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215770284. Details of each certification follow.

Federally qualified health center certification: CCN D31012

Legal name
HYNDMAN AREA HEALTH CENTER INC
Doing business as
JOHNSTOWN FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 18, 2024
Last certification
Jul 18, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 13, 1978 in PA
Enrollment address
227 Franklin St
Ste 304
Johnstown, PA 15901-1916

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2307181Johnstown Family Health Center227 Franklin St, Suite 304, Johnstown, PA 15901Provider-performed microscopyJul 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
Hyndman Area Health Center Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

227 Franklin St
Ste 304
Johnstown, PA 15901
Phone (814) 634-4968

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Evelyn Skillington Individual Corporate Director Aug 1, 2019
Sandy Crosten Individual Corporate DirectorBoard Member Mar 28, 2024
Thomas Otis Individual Corporate Director Nov 1, 2016
Thomas Vent Individual Corporate Director Jan 1, 2019
Steve Stouffer Individual Corporate DirectorSecretary Dec 1, 2016
Larry J Nulton Individual Corporate Director Sep 29, 2021
Roxann Tyger Individual Corporate Director Sep 27, 2023
Linda Fanale Individual Corporate Director May 26, 2021
Becky Garrett Individual Corporate Director Oct 12, 2023
Jack Shroyer Individual Corporate DirectorBoard Member Nov 21, 2024
John Blackburn Individual Corporate DirectorBoard President Jun 30, 2021
Jeannine McMillan Individual Corporate Director Apr 28, 2021
Brian Stratta Individual Corporate OfficerCeo Apr 13, 2023
W-2 Managing EmployeeMD; Oct 17, 2019

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1215770284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DR STE 107",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155227941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 FRANKLIN ST STE 304",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011916",
            "telephone_number": "814-634-4968",
            "fax_number": "814-254-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYNDMAN AREA HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "STRATTA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO, CMO",
        "authorized_official_telephone_number": "814-709-9801",
        "authorized_official_credential": "MD"
    },
    "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": "Johnstown Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.