NPIMap

Organization Active NPI

Punxsutawney Area Hospital Inc

  • General Acute Care Hospital
  • Punxsutawney, PA
National Provider Identifier
1265449870
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
163701 Issued in PA
Legal business name
PUNXSUTAWNEY AREA HOSPITAL INC
Practice address
81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Phone
(814) 938-1800
Fax
(814) 938-1885
NPI assigned
Aug 3, 2006
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
T. Clark Simpson, MD
Title
President
Phone
(814) 938-1882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 163701 PA Primary

Addresses

Primary practice location

81 Hillcrest Dr
Punxsutawney, PA 15767-2605

Mailing address

81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Phone (814) 938-1800

Other identifiers 12

IdentifierTypeStateIssuer
063945OtherPAMEDICARE SURGICAL ASSIST
1034443OtherPAEMERGENCY ROOM GATEWAY
063945OtherPAMEDICARE SUR ASSIST
105192OtherPAUPMC HEALTH PLAN
0064OtherPAHIGHMARK BLUE CROSS
056069OtherPAUNISON HEALTH PLAN MCD HM
192446OtherPAHEALTH AMERICA HEALTH ASR
1007712640007MedicaidPA
60627OtherPAMCD HMO UNISON HEALTH PL
1011417OtherPAMEDICAID HMO GATEWAY HEAL
1007712640047MedicaidPA
300145OtherPAFEDERAL BLACK LUNG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040830000460 PA Part B Supplier - Clinic/Group Practice 3375517147 Receives reassigned benefits from 88 practitioners
2 other NPIs on this enrollment
Practice locations: Punxsutawney, PA
O20080519000603 PA Part A Provider - Hospital 3375517147 Practice locations: Punxsutawney, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265449870. Details of each certification follow.

Hospital certification: CCN 390199

Legal name
PUNXSUTAWNEY AREA HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 8, 2024
Beds
49 (44 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 11, 1889 in PA
Enrollment address
81 Hillcrest Drive
Punxsutawney, PA 15767-2616
Main/Primary Hospital Location
Hospital subgroups
Acute care, Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Punxsutawney Area HospitalCCN 390199 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

81 Hillcrest Dr
#100200
Punxsutawney, PA 15767

81 Hillcrest Dr
Ste 1200
Punxsutawney, PA 15767
Phone (814) 938-1830

81 Hillcrest Dr
Ste AND2200
Punxsutawney, PA 15767

Interoperability endpoints

  • Direct secure messaging: bmagill@direct.pah.org
  • Direct secure messaging: dfugate@direct.pah.org
  • Direct secure messaging: dpallone@direct.pah.org
  • Direct secure messaging: dstein@direct.pah.org
  • Direct secure messaging: kfugate@direct.pah.org
  • Direct secure messaging: mchambers@direct.pah.org
  • Direct secure messaging: plambiotte@direct.pah.org
  • Direct secure messaging: tsimpson@direct.pah.org

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
James R Martin Individual Corporate OfficerBoard Member Nov 1, 2023
Christina Lubold Individual Corporate OfficerBoard Member Jan 1, 2022
Mary Krauland Individual Corporate OfficerBoard Member Jul 1, 2024
Nathan Kovalchick Individual Corporate OfficerChairman Nov 1, 2023
Wendell S Davis Individual Corporate OfficerBoard Member Jul 1, 2024
Pennsylvania Mountains Care Network Organization, Indiana, PA Corporation, Non-profit Other Jul 1, 2015
Laurie Kuzneski Individual Corporate OfficerBoard Member Jan 1, 2024
Michael F Ickowski Sr Individual W-2 Managing EmployeeAd; Jul 1, 2025 100%
April L Miller Individual W-2 Managing EmployeeAd; Jul 1, 2025 100%
T Clark Simpson Individual Corporate OfficerBoard Member Jul 1, 2017
Frank Roberts Individual Corporate OfficerSecretary Nov 1, 2023
Todd Brice Individual Corporate OfficerBoard Member Jan 1, 2022
Rebecca Stapleton Individual Corporate OfficerTreasurer Jan 1, 2022
Chad R Shaffer Individual Corporate OfficerBoard Member Jul 1, 2024
Hilliary Creely Individual Corporate OfficerBoard Member Jan 1, 2022
T Michael Price Individual Corporate OfficerVice Chairman Nov 1, 2023
Russell a Drozdiak Individual Corporate OfficerBoard Member Nov 1, 2023

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Punxsutawney Home Health CarePunxsutawney, PA, CCN 397096 Home health agency 5% Or Greater Direct Ownership Interest Sep 2, 1970
Punxsutawney Area Hospital Rural Health ClinicPunxsutawney, PA, CCN 393451 Rural health clinic Operational/Managerial Control Nov 30, 2022

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 106

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.

View all 106

Affiliated clinicians 146

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

View all 146

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1265449870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HILLCREST DR",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-1800",
            "fax_number": "814-938-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HILLCREST DR",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-1800",
            "fax_number": "814-938-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNXSUTAWNEY AREA HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "T. CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-938-1882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "163701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SURGICAL ASSIST",
            "identifier": "063945",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMERGENCY ROOM GATEWAY",
            "identifier": "1034443",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUR ASSIST",
            "identifier": "063945",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "105192",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "0064",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN MCD HM",
            "identifier": "056069",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA HEALTH ASR",
            "identifier": "192446",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007712640007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCD HMO  UNISON HEALTH PL",
            "identifier": "60627",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HMO GATEWAY HEAL",
            "identifier": "1011417",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007712640047",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "300145",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

Verify at the official NPI Registry.