Active NPI
Ondich Rural Health Center
- Rural Health Clinic/Center
- Kittanning, PA
National Provider Identifier
1619149796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- OS006237L
- Legal business name
- ONDICH RURAL HEALTH CENTER
- Practice address
- 10261 State Route 85
Kittanning, PA 16201-8165 - Phone
- (724) 783-7124
- Fax
- (724) 783-7999
- NPI assigned
- Mar 28, 2008
- 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
- Dr. Michael P. Ondich, D.O.
- Title
- Owner
- Phone
- (724) 783-7124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | OS006237L | PA | Primary |
Addresses
Primary practice location
10261 State Route 85
Kittanning, PA 16201-8165
Mailing address
10261 State Route 85
Kittanning, PA 16201-8165
Phone (724) 783-7124
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13484 | Other | UNITED MINE WORKERS | |
| 000322671 | Other | BLUE SHIELD | |
| 1010616 | Other | GATEWAY | |
| 203221 | Other | UPMC | |
| 1007508360006 | Medicaid | PA | |
| 480354 | Other | AETNA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215475200000",
"number": "1619149796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10261 STATE ROUTE 85",
"city": "KITTANNING",
"state": "PA",
"postal_code": "162018165",
"telephone_number": "724-783-7124",
"fax_number": "724-783-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10261 STATE ROUTE 85",
"city": "KITTANNING",
"state": "PA",
"postal_code": "162018165",
"telephone_number": "724-783-7124",
"fax_number": "724-783-7999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONDICH RURAL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-28",
"last_updated": "2008-07-08",
"status": "A",
"authorized_official_last_name": "ONDICH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-783-7124",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "PA",
"license": "OS006237L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED MINE WORKERS",
"identifier": "13484",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000322671",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1010616",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "203221",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007508360006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "480354",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kittanning, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.