Organization Active NPI

JC Blair Memorial Hospital

Doing business as Penn Highlands Huntingdon Anesthesia

  • Anesthesiology Physician
  • Huntingdon, PA
National Provider Identifier
1427675040
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
JC BLAIR MEMORIAL HOSPITAL
Doing business as
Penn Highlands Huntingdon Anesthesia
Practice address
1225 Warm Springs Ave
Huntingdon, PA 16652-2398
Phone
(814) 643-8539
Fax
(814) 643-7014
NPI assigned
Jun 30, 2020
Last updated
Jun 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 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
Anesthesiology Physician 207L00000X Primary
Certified Registered Nurse Anesthetist 367500000X

Addresses

Primary practice location

1225 Warm Springs Ave
Huntingdon, PA 16652-2398

Mailing address

1225 Warm Springs Ave
Huntingdon, PA 16652-2398
Phone (814) 643-8539

Other names 1

  • Penn Highlands Huntingdon Anesthesia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blair Mem Hosp Lab J31 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

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1427675040",
    "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": "814-643-8539",
            "fax_number": "814-643-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WARM SPRINGS AVE",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522398",
            "telephone_number": "814-643-8539",
            "fax_number": "814-643-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC BLAIR MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "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": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Highlands Huntingdon Anesthesia",
            "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 Jun 30, 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.