Active NPI
Johnstown Free Medical Clinic
- Federally Qualified Health Center (FQHC)
- Johnstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1034430240002 | Medicaid | PA |
Other names 1
- Highlands Health: Laurel Highlands Free & Charitable Medical Clinic
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.highlandshealthclinic.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
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
- Corporation
- Enrollment address
- 315 Locust St
Ste 2
Johnstown, PA 15901-1651
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2286479 | Highlands HLTH Free & Charitable Clinic | Certificate of waiver | Jul 28, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Johnstown Free Medical Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Somerset, PA
- NPI 1528944733
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Bruce Jordan | 5% Or Greater Direct Ownership Interest | Jan 9, 2020 | |
| Michele Scanlon | 5% Or Greater Direct Ownership Interest | Jan 9, 2022 | |
| Lisa Shirt | 5% Or Greater Direct Ownership Interest | Aug 1, 2022 | |
| Natalie Kauffman | 5% Or Greater Direct Ownership Interest | Aug 1, 2022 | |
| Rosalie Danchanko | 5% Or Greater Direct Ownership Interest | Oct 13, 2023 | |
| Corporate Director | Oct 13, 2023 | 100% | |
| Operational/Managerial Control | Oct 11, 2023 | ||
| Richard S Wozniak | 5% Or Greater Direct Ownership Interest | Aug 1, 2022 | |
| William Mardis | Corporate Officer | Jan 9, 2022 | |
| Paula Nihoff | Corporate Officer | Oct 1, 2022 | |
| Antoinette Allen | 5% Or Greater Direct Ownership Interest | 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.
-
- Family Medicine Physician
- Johnstown, PA
- NPI 1396739744
5% Or Greater Direct Ownership Interest
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.
-
- Federally Qualified Health Center (FQHC)
- Somerset, PA
- NPI 1528944733
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Johnstown, PA
- NPI 1447062948
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
- Lynn C Johnston, MD
- Johnstown Ambulatory Services PLLC
- Johnstown Cardiovascular Associates Inc
- Johnstown Family Vision & Hearing Inc
- Johnstown Foot Specialists
- Johnstown Heart and Vascular Center Inc.
- Johnstown Hospitalist Services PLLC
- Johnstown Internists, Inc.
- Johnstown Ops LLC
- Johnstown Pharmacy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.