Family Health Care Center of Punxsutawney, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

393918 Issued in PA

Legal business name

FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC.

Practice address

83 Hillcrest Dr
Suite 200
Punxsutawney, PA 15767-2605

Phone

(814) 938-3550

Fax

(814) 938-3679

NPI assigned

Jan 6, 2012

Organization subpart

No

Name

Dr. Phillip John States, M.D.

Title

Owner/Proprietor

Phone

(814) 938-3550

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Nicole Shaffer, PA-C

  • Medical Physician Assistant
  • Punxsutawney, PA
  • NPI 1780810051
  NPD (past)

Locations

• Family Health Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2015.

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1295005361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HILLCREST DR",
            "address_2": "SUITE 200",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-3550",
            "fax_number": "814-938-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HILLCREST DR",
            "address_2": "SUITE 200",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-3550",
            "fax_number": "814-938-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "STATES",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PROPRIETOR",
        "authorized_official_telephone_number": "814-938-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "PA",
            "license": "393918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019257860003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC CCN",
            "identifier": "393918",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eckerd Corporation
• Emily Sue Elbel, M.S., CCC-SLP
• Jay E Elder, M.D.
• Barbara B Elkin, MA
• Kaleigh A Fairman, PA-C
• Eric Faught, CRNP
• Andrea Curstin Feliciano, PA-C
• Samantha Lynn Ferraro, M.S. CCC-SLP
• W Scott Flipse, MD
• Deborah Gavlak Freeland

• All providers in Punxsutawney, PA
• Rural Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.