Organization Active NPI

Johnstown Free Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Johnstown, PA
National Provider Identifier
1700520855
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
JOHNSTOWN FREE MEDICAL CLINIC
Practice address
315 Locust Street, 2ND Floor
Johnstown, PA 15901
Johnstown, PA 15901
Phone
(814) 534-6242
Fax
(814) 534-6731
NPI assigned
Apr 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Rosalie Danchanko
Title
Executive Director
Phone
(814) 534-6242

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Voluntary or Charitable Agency 251V00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

315 Locust Street, 2ND Floor
Johnstown, PA 15901
Johnstown, PA 15901

Mailing address

315 Locust St Ste 2
Johnstown, PA 15901-1651
Phone (814) 534-6242

Other practice location 1

225 S Center Ave
Somerset, PA 15501-2033
Phone (814) 443-5867

Other identifiers 1

IdentifierTypeStateIssuer
1034430240002MedicaidPA

Other names 1

  • Highlands Health: Laurel Highlands Free & Charitable Medical Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.highlandshealthclinic.com Other

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231219003101 PA Part B Supplier - Clinic/Group Practice 8022468909 Receives reassigned benefits from 2 practitioners
Practice locations: Johnstown, PA; Somerset, PA
O20251029004020 PA Part A Provider - Federally Qualified Health Center (FQHC) 8022468909 Practice locations: Johnstown, PA

Federally qualified health center certification: CCN D31048

Legal name
JOHNSTOWN FREE MEDICAL CLINIC
Doing business as
HIGHLANDS HEALTH LAUREL HIGHLANDS FREE & CHARITABLE MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 25, 2025
Last certification
Sep 25, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
315 Locust St
Ste 2
Johnstown, PA 15901-1651

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2286479Highlands HLTH Free & Charitable Clinic315 Locust Street, 2ND Floor, Johnstown, PA 15901Certificate of waiverJul 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Johnstown Free Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

315 Locust St
Ste 2
Johnstown, PA 15901
Phone (814) 534-6242

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Bruce Jordan Individual 5% Or Greater Direct Ownership InterestBoard Member Jan 9, 2020
Michele Scanlon Individual 5% Or Greater Direct Ownership InterestBoard Member Jan 9, 2022
Lisa Shirt Individual 5% Or Greater Direct Ownership InterestBoard Member Aug 1, 2022
Natalie Kauffman Individual 5% Or Greater Direct Ownership InterestBoard Member Aug 1, 2022
Rosalie Danchanko Individual 5% Or Greater Direct Ownership InterestExecutive Director Oct 13, 2023
Corporate DirectorExecutive Director Oct 13, 2023 100%
Operational/Managerial ControlExecutive Director Oct 11, 2023
Richard S Wozniak Individual 5% Or Greater Direct Ownership InterestBoard Memeber Aug 1, 2022
William Mardis Individual Corporate OfficerBoard Member Jan 9, 2022
Paula Nihoff Individual Corporate OfficerBoard Member Oct 1, 2022
Antoinette Allen Individual 5% Or Greater Direct Ownership InterestBoard Member Jan 1, 2018

Owners & managing parties with NPI records 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1700520855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 LOCUST ST STE 2",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011651",
            "telephone_number": "814-534-6242",
            "fax_number": "814-534-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 LOCUST STREET, 2ND FLOOR",
            "address_2": "JOHNSTOWN, PA 15901",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15901",
            "telephone_number": "814-534-6242",
            "fax_number": "814-534-6731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 S Center Ave",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "PA",
            "postal_code": "155012033",
            "country_code": "US",
            "telephone_number": "814-443-5867",
            "fax_number": "814-443-5869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHNSTOWN FREE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "DANCHANKO",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-534-6242"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034430240002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.highlandshealthclinic.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "clinic overview",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clinic overview",
            "address_1": "315 Locust Street, 2nd Floor",
            "address_2": "Johnstown, PA 15901",
            "city": "Johnstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Highlands Health: Laurel Highlands Free & Charitable Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.