NPIMap

Organization Active NPI

Brookville Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Brookville, PA
National Provider Identifier
1225006703
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
2805 Issued in PA
Legal business name
BROOKVILLE HOSPITAL
Practice address
100 Hospital Rd
Brookville, PA 15825-1367
Phone
(814) 849-2312
Fax
(814) 849-4841
NPI assigned
Mar 9, 2006
Last updated
Feb 20, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN HIGHLANDS HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Ms. Julianne Peer
Title
President
Phone
(814) 849-1461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 2805 PA Primary

Addresses

Primary practice location

100 Hospital Rd
Brookville, PA 15825-1367

Mailing address

100 Hospital Rd
Brookville, PA 15825-1367
Phone (814) 849-2312

Other names 1

  • Swing Bed Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120120000550 PA Part A Provider - Critical Access Hospital 3072579598 Practice locations: Brookville, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225006703. Details of each certification follow.

Hospital certification: CCN 39Z312

Legal name
BROOKVILLE HOSPITAL
Doing business as
PENN HIGHLANDS BROOKVILLE SWING BED
Organization structure
CorporationNon-profit
Incorporated
Apr 13, 1915 in PA
Enrollment address
100 Hospital Rd
Brookville, PA 15825-1367
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

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

National Provider Directory

National Provider Directory
Tax ID family
Brookville Clinic Inc15 organizations share this tax ID, including this one
Part of
Penn Highlands Healthcare

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Douglas Winner Individual Corporate OfficerChief Financial Officer Aug 12, 2024
Operational/Managerial ControlChief Financial Officer Aug 12, 2024
Jourdan D Strishock Individual Corporate DirectorCompliance Director Aug 1, 2021
Operational/Managerial ControlCompliance Director Aug 1, 2021
Russell E Cameron Individual Corporate OfficerChief Medical Informatics Officer Jul 1, 2016
Operational/Managerial ControlChief Medical Informatics Officer Jul 1, 2016
Penn Highlands Healthcare, Inc. Organization, Dubois, PA Corporation Other Oct 1, 2011 100%
Robert W O'Leary Individual Corporate DirectorBoard Member Jul 1, 2021
Trina L Johnson Individual Corporate OfficerChief Medical Officer Oct 21, 2022
Operational/Managerial ControlChief Medical Officer Oct 21, 2022
Edward Yahner Individual Corporate DirectorBoard Member Jul 1, 2025
Joanne Ryan Individual Corporate DirectorBoard Member Jul 1, 2022
David Lezzer Individual Corporate DirectorBoard Member Jul 1, 2021
James E Devlin Individual Corporate DirectorBoard Member Jul 1, 2022
Carlyn Belczyk Individual Corporate DirectorBoard Member Oct 1, 2021
Samuel Lewis Individual Corporate DirectorBoard Member Feb 1, 2021
Richard L Pfingstler Individual Corporate DirectorBoard Member Jul 1, 2021
Donald E Conrad Individual Corporate DirectorBoard Member Jul 1, 2021
Scott H Foradora Individual Corporate DirectorBoard Member Jul 1, 2020
Mark Norman Individual Corporate OfficerChief Operating Officer Jul 1, 2016
Operational/Managerial ControlChief Operating Officer Jul 1, 2016
William H Young Individual Corporate DirectorBoard Member Jul 1, 2021
Mark McGinley Individual Corporate DirectorBoard Member Oct 1, 2021
James B Ryan Individual Corporate DirectorBoard Member Jul 1, 2020
John S Sutika Individual Corporate DirectorBoard Member Jul 1, 2025
Brian S Kline Individual Corporate OfficerVP of Financial Affairs Jul 1, 2024
Operational/Managerial ControlVP Financial Affairs Jul 1, 2024
Steven M Fontaine Individual Corporate OfficerChief Executive Officer Jul 1, 2016
Operational/Managerial ControlChief Executive Officer Jul 1, 2016
Julianne Peer Individual Corporate OfficerPresident Aug 13, 2013
Operational/Managerial ControlPresident Aug 13, 2013

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Penn Highlands Jefferson ManorBrookville, PA, CCN 395626 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 1

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.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1225006703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251367",
            "telephone_number": "814-849-2312",
            "fax_number": "814-849-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251367",
            "telephone_number": "814-849-2312",
            "fax_number": "814-849-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKVILLE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2006-03-09",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "PEER",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-849-1461",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "PA",
            "license": "2805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swing Bed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brookville, PA

Sources for this page

Verify at the official NPI Registry.