NPIMap

Organization Active NPI

JC Blair Memorial Hospital

Doing business as Penn Highlands Huntingdon Surgical Care Center

  • Surgery Physician
  • Huntingdon, PA
National Provider Identifier
1275150682
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JC BLAIR MEMORIAL HOSPITAL
Doing business as
Penn Highlands Huntingdon Surgical Care Center
Practice address
820 Bryan St Ste 3
Huntingdon, PA 16652-2409
Phone
(814) 643-4876
Fax
(814) 643-6595
NPI assigned
Jul 1, 2020
Last updated
Jul 1, 2020By the provider in NPPES
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

820 Bryan St Ste 3
Huntingdon, PA 16652-2409

Mailing address

1225 Warm Springs Ave
Huntingdon, PA 16652-2398
Phone (814) 643-4876

Other names 1

  • Penn Highlands Huntingdon Surgical Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JC Blaim Memorial Hos a31 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

Locations

1227 Warm Springs Ave
Ste 302
Huntingdon, PA 16652
Phone (814) 643-0837

Practitioners & affiliated clinicians

Practitioners 30

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 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": "1275150682",
    "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": "814-643-4876",
            "fax_number": "814-643-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BRYAN ST STE 3",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522409",
            "telephone_number": "814-643-4876",
            "fax_number": "814-643-6595"
        }
    ],
    "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": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Highlands Huntingdon Surgical Care Center",
            "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.