NPIMap

Organization Active NPI

Armstrong County Memorial Hospital

  • Rural Health Clinic/Center
  • New Bethlehem, PA
National Provider Identifier
1356601835
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ARMSTRONG COUNTY MEMORIAL HOSPITAL
Practice address
102 South St
New Bethlehem, PA 16242-1238
Phone
(814) 275-2264
Fax
(814) 275-7875
NPI assigned
May 18, 2012
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Matthew Kociola
Title
Cfo
Phone
(724) 543-8500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Internal Medicine Physician 207R00000X NU
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

102 South St
New Bethlehem, PA 16242-1238

Mailing address

1 Nolte Dr
Kittanning, PA 16201-7111
Phone (724) 543-8500

Other names 1

  • Armstrong Primary Care Center South Bethlehem Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031104000468 PA Part B Supplier - Clinic/Group Practice 9335051663 Receives reassigned benefits from 74 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elderton, PA; New Bethlehem, PA; Leechburg, PA; Kittanning, PA
O20120723000809 PA Part A Provider - Rural Health Clinic 9335051663 Practice locations: New Bethlehem, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356601835. Details of each certification follow.

Rural health clinic certification: CCN 393894

Legal name
ARMSTRONG COUNTY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 4, 2006
Last certification
Feb 23, 2023
Ownership / control type
2A
Organization structure
CorporationNon-profit
Incorporated
Apr 29, 1874 in PA
Enrollment address
102 South Street
New Bethlehem, PA 16242-1238

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 23

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

View all 23

National Provider Directory

National Provider Directory

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 DirectorBoard Member Nov 1, 2023
Christina Lubold Individual Corporate DirectorBoard Member Jan 1, 2025
Mary Krauland Individual Corporate DirectorBoard Member Jul 1, 2024
Nathan Kovalchick Individual Corporate DirectorBoard Chairman Jan 1, 2025
Wendell S Davis Individual Corporate DirectorBoard Member Jul 1, 2024
Pennsylvania Mountains Care Network Organization, Indiana, PA Corporation, Holding company, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2024 100%
Laurie Kuzneski Individual Corporate DirectorBoard Vice Chair Jan 1, 2024
T Clark Simpson Individual Corporate DirectorBoard Member Jan 1, 2024
Frank Roberts Individual Corporate DirectorBoard Member Nov 1, 2023
Todd Brice Individual Corporate DirectorBoard Member Jan 1, 2025
Rebecca Stapleton Individual Corporate DirectorBoard Member Jan 1, 2025
Chad R Shaffer Individual Corporate DirectorBoard Member Jul 1, 2024
Hilliary Creely Individual Corporate DirectorBoard Member Jan 1, 2024
Stephen a Wolfe Individual Corporate DirectorBoard Member Jul 1, 2024
T Michael Price Individual Corporate DirectorBoard Member Nov 1, 2023
Russell a Drozdiak Individual Corporate DirectorBoard Member Nov 1, 2023
Nichole D Geraci Individual Corporate OfficerPresident/Ceo Jul 8, 2023
W-2 Managing Employee Jul 8, 2023
Operational/Managerial Control Jul 8, 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
Armstrong County Memorial HospitalKittanning, PA, CCN 393415 Rural health clinic Operational/Managerial Control Jun 1, 2010
Armstrong Primary Care Center - West HillsKittanning, PA, CCN 393439 Rural health clinic Operational/Managerial Control (100%) Aug 1, 2013

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1356601835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NOLTE DR",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017111",
            "telephone_number": "724-543-8500",
            "fax_number": "724-543-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SOUTH ST",
            "city": "NEW BETHLEHEM",
            "state": "PA",
            "postal_code": "162421238",
            "telephone_number": "814-275-2264",
            "fax_number": "814-275-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMSTRONG COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "KOCIOLA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-543-8500"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Armstrong Primary Care Center South Bethlehem",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.