NPIMap

Organization Active NPI

J C Blair Memorial Hospital

  • Rheumatology Physician
  • Altoona, PA
National Provider Identifier
1669217808
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
J C BLAIR MEMORIAL HOSPITAL
Practice address
417 Sabbath Rest Rd Ste 4
Altoona, PA 16601-7567
Phone
(814) 684-6341
Fax
(814) 684-6343
NPI assigned
Jun 28, 2024
Organization subpart
Yes
Parent organization
PENN HIGHLANDS HEALTHCAREAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Jourdan Strishock
Title
Director
Phone
(814) 375-6160

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.

Other NPIs on the same Medicare enrollment 13

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

View all 13

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121000045 PA Part B Supplier - Clinic/Group Practice 2668378407 Receives reassigned benefits from 56 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Altoona, PA; State College, PA; Huntingdon, PA

National Provider Directory

National Provider Directory
Part of
Penn Highlands Healthcare

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

NPPES NPI Registry

Primary practice location

417 Sabbath Rest Rd Ste 4
Altoona, PA 16601-7567

Mailing address

1225 Warm Springs Ave
Huntingdon, PA 16652-2350
Phone (814) 375-4200

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
075036OtherPAMC PTAN
100768376-0076MedicaidPA

Other names 2

NPPES NPI Registry
  • Penn Highlands Huntingdon Doing business as
  • Penn Highlands Huntingdon Rheumatology Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2025.

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1669217808",
    "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": "814-375-4200",
            "fax_number": "814-375-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SABBATH REST RD STE 4",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166017567",
            "telephone_number": "814-684-6341",
            "fax_number": "814-684-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J C BLAIR MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "STRISHOCK",
        "authorized_official_first_name": "JOURDAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "814-375-6160"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC PTAN",
            "identifier": "075036",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100768376-0076",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Highlands Huntingdon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penn Highlands Huntingdon Rheumatology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.

Verify at the official NPI Registry.