NPIMap

Organization Active NPI

Bradford Regional Medical Center

  • Home Health Agency
  • Bradford, PA
National Provider Identifier
1689673022
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
713005 Issued in PA
Legal business name
BRADFORD REGIONAL MEDICAL CENTER
Practice address
1223 E Main St
Bradford, PA 16701-3223
Phone
(814) 362-7466
Fax
(814) 362-4306
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Mr. Timothy J Finan
Title
President/Ceo
Phone
(814) 362-8216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 713005 PA Primary

Addresses

Primary practice location

1223 E Main St
Bradford, PA 16701-3223

Mailing address

1223 E Main St
PO Box 465
Bradford, PA 16701-3223
Phone (814) 362-7466

Other identifiers 1

IdentifierTypeStateIssuer
1007507650048MedicaidPA

Other names 1

  • McKean County Visting Nurse Association Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bradford Regional Medical Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1689673022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 E MAIN ST",
            "address_2": "PO BOX 465",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013223",
            "telephone_number": "814-362-7466",
            "fax_number": "814-362-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 E MAIN ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013223",
            "telephone_number": "814-362-7466",
            "fax_number": "814-362-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "FINAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "814-362-8216",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "713005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007507650048",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKean County Visting Nurse Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.