Active NPI
J C Blair Memorial Hospital
- General Acute Care Hospital
- Huntingdon, PA
National Provider Identifier
1609087352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 101101
- Legal business name
- J C BLAIR MEMORIAL HOSPITAL
- Practice address
- 1225 Warm Springs Ave
Huntingdon, PA 16652-2350 - Phone
- (814) 643-2290
- Fax
- (814) 643-0869
- NPI assigned
- May 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Calhoun
- Title
- Ceo
- Phone
- (814) 643-2290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 101101 | PA | Primary |
Addresses
Primary practice location
1225 Warm Springs Ave
Huntingdon, PA 16652-2350
Mailing address
1225 Warm Springs Ave
Huntingdon, PA 16652-2350
Phone (814) 643-2290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040406001146 | PA | Part B Supplier - Clinic/Group Practice | 2668378407 |
Receives reassigned benefits from 8 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Huntingdon, PA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609087352",
"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": "166522350",
"telephone_number": "814-643-2290",
"fax_number": "814-643-0869"
},
{
"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": "166522350",
"telephone_number": "814-643-2290",
"fax_number": "814-643-0869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J C BLAIR MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CALHOUN",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "814-643-2290"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "PA",
"license": "101101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.