NPIMap

Organization Active NPI

Hyndman Area Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hyndman, PA
National Provider Identifier
1487075131
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HYNDMAN AREA HEALTH CENTER, INC.
Practice address
144 5TH Ave
Hyndman, PA 15545-7379
Phone
(814) 842-3206
Fax
(814) 842-3746
NPI assigned
Dec 26, 2013
Last updated
Aug 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
William Kurtycz
Title
Ceo
Phone
(814) 709-9801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

144 5TH Ave
Hyndman, PA 15545-7379

Mailing address

144 5TH Ave
PO Box 706
Hyndman, PA 15545-7379
Phone (814) 842-3206

Other identifiers 1

IdentifierTypeStateIssuer
1007332810003MedicaidPA

Other names 1

  • HAHC - Dental Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Hyndman Area Health Center Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1487075131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 5TH AVE",
            "address_2": "PO BOX 706",
            "city": "HYNDMAN",
            "state": "PA",
            "postal_code": "155457379",
            "telephone_number": "814-842-3206",
            "fax_number": "814-842-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 5TH AVE",
            "city": "HYNDMAN",
            "state": "PA",
            "postal_code": "155457379",
            "telephone_number": "814-842-3206",
            "fax_number": "814-842-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYNDMAN AREA HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "KURTYCZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-709-9801"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007332810003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAHC - Dental Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "HAHC - Dental Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hyndman, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.