NPIMap

Organization Active NPI

Brookville Hospital

Doing business as Penn Highlands Brookville

  • Multi-Specialty Clinic/Center
  • Brookville, PA
National Provider Identifier
1629697925
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BROOKVILLE HOSPITAL
Doing business as
Penn Highlands Brookville
Practice address
88 Hospital Rd
Brookville, PA 15825-1368
Phone
(814) 849-2312
Fax
(814) 849-4841
NPI assigned
Apr 16, 2020
Last updated
Apr 22, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN HIGHLANDS HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Julianne Peer
Title
President/Authorized Official
Phone
(814) 849-1461

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X
Urology Physician 208800000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X

Addresses

Primary practice location

88 Hospital Rd
Brookville, PA 15825-1368

Mailing address

100 Hospital Rd
Brookville, PA 15825-1367
Phone (814) 299-7556

Other identifiers 1

IdentifierTypeStateIssuer
391312OtherPAPTAN-PART A

Other names 2

  • PENN HIGHLANDS BROOKVILLE Doing business as
  • Penn Highlands Brookville Professional Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060206000170 PA Part A Provider - Critical Access Hospital 3072579598 Receives reassigned benefits from 136 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brookville, PA
O20200521000905 PA Part B Supplier - Hospital Department(S) 3072579598 Receives reassigned benefits from 1 practitioner
Practice locations: Brookville, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629697925. Details of each certification follow.

Hospital certification: CCN 391312

Legal name
BROOKVILLE HOSPITAL
Doing business as
PENN HIGHLANDS BROOKVILLE
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2006
Last certification
Feb 1, 2024
Beds
35
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 13, 1915 in PA
Enrollment address
100 Hospital Rd
Brookville, PA 15825-1367

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Penn Highlands BrookvilleCCN 391312 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Penn Highlands Healthcare

Locations

88 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1874

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Douglas Winner Individual Corporate OfficerSystem Chief Financial Officer Aug 12, 2024
Jourdan D Strishock Individual W-2 Managing EmployeeCompliance Supervisor Aug 1, 2021
Russell E Cameron Individual Corporate OfficerChief Medical Information Officer Jul 1, 2016
Penn Highlands Healthcare, Inc. Organization, Dubois, PA Non-profit Other Oct 1, 2011 100%
Robert W O'Leary Individual Corporate DirectorBoard Member Jul 1, 2021
Trina L Johnson Individual Corporate DirectorChief Medical Officer Oct 21, 2022
Edward Yahner Individual Corporate DirectorBoard Member Jul 1, 2025
Joanne Ryan Individual Corporate DirectorBoard Member Jul 1, 2022
David Lezzer Individual Corporate DirectorBoard Member Jul 1, 2021
James E Devlin Individual Corporate DirectorBoard Member Jul 1, 2022
Carlyn Belczyk Individual Corporate DirectorBoard Member Oct 1, 2021
Dubois Regional Medical Center Organization, Dubois, PA Operational/Managerial Control Sep 26, 2007
Samuel Lewis Individual Corporate DirectorBoard Member Feb 1, 2021
Richard L Pfingstler Individual Corporate DirectorBoard Member Jul 1, 2021
Donald E Conrad Individual Corporate DirectorBoard Member Jul 1, 2021
Scott H Foradora Individual Corporate DirectorBoard Member Jul 1, 2020
Mark Norman Individual Corporate OfficerChief Operating Officer Jul 1, 2016
W-2 Managing Employee Jul 1, 2016
William H Young Individual Corporate DirectorBoard Member Jul 1, 2021
Mark McGinley Individual Corporate DirectorBoard Member Oct 1, 2021
James B Ryan Individual Corporate DirectorBoard Member Jul 1, 2020
John S Sutika Individual Corporate DirectorBoard Member Jul 1, 2025
Brian S Kline Individual Corporate OfficerChief Financial Officer Jul 1, 2024
W-2 Managing Employee Jul 1, 2024
Steven M Fontaine Individual Corporate OfficerChief Executive Officer Jul 1, 2016
Julianne Peer Individual Corporate OfficerPresident Aug 12, 2013
W-2 Managing Employee Feb 6, 2006

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Penn Highlands Jefferson ManorBrookville, PA, CCN 395626 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Affiliated clinicians 239

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 239

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1629697925",
    "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": "814-299-7556",
            "fax_number": "814-372-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 HOSPITAL RD",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251368",
            "telephone_number": "814-849-2312",
            "fax_number": "814-849-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKVILLE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "PEER",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "PRESIDENT/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "814-849-1461"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN-PART A",
            "identifier": "391312",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENN HIGHLANDS BROOKVILLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penn Highlands Brookville Professional Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brookville, PA

Sources for this page

Verify at the official NPI Registry.