NPIMap

Organization Active NPI

Brookville Hospital

Doing business as Brookville Hospital - Marienville Family Health RHC

  • Rural Health Clinic/Center
  • Marienville, PA
National Provider Identifier
1356778773
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BROOKVILLE HOSPITAL
Doing business as
Brookville Hospital - Marienville Family Health RHC
Practice address
125 Chestnut Street
Marienville, PA 16239-0463
Phone
(814) 927-5609
Fax
(814) 927-5613
NPI assigned
Sep 30, 2013
Last updated
Jan 9, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN HIGHLANDS HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Julieanne Peer
Title
VP/Cfo
Phone
(814) 849-1408

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA
Rural Health Clinic/Center 261QR1300X PA Primary

Addresses

Primary practice location

125 Chestnut Street
Marienville, PA 16239-0463

Mailing address

100 Hospital Rd
Brookville, PA 15825-1367
Phone (814) 927-5609

Other identifiers 1

IdentifierTypeStateIssuer
100773376MedicaidPA

Other names 1

  • Brookville Hospital - Marienville Family Health RHC Doing business as

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1356778773",
    "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": "814-927-5609",
            "fax_number": "814-927-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHESTNUT STREET",
            "city": "MARIENVILLE",
            "state": "PA",
            "postal_code": "162390463",
            "telephone_number": "814-927-5609",
            "fax_number": "814-927-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKVILLE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2013-09-30",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "PEER",
        "authorized_official_first_name": "JULIEANNE",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "814-849-1408"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773376",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookville Hospital - Marienville Family Health RHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marienville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.