NPIMap

Organization Active NPI

Titusville Area Hospital

  • Rural Health Clinic/Center
  • Titusville, PA
National Provider Identifier
1740774207
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TITUSVILLE AREA HOSPITAL
Practice address
339 W Spring St
Titusville, PA 16354-1655
Phone
(814) 827-9675
Fax
(814) 827-0216
NPI assigned
Jun 19, 2018
Organization subpart
Yes
Parent organization
TITUSVILLE AREA HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Jill Neely
Title
VP Revenue Cycle Services
Phone
(814) 827-1851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

339 W Spring St
Titusville, PA 16354-1655

Mailing address

406 W Oak St
Titusville, PA 16354-1404
Phone (814) 827-1852

Other names 1

  • Oil Valley Medical Group Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180710001242 PA Part A Provider - Rural Health Clinic 8022907575 Practice locations: Titusville, PA
O20181219001350 PA Part B Supplier - Hospital Department(S) 8022907575 Receives reassigned benefits from 11 practitioners
Practice locations: Titusville, PA

Rural health clinic certification: CCN 393442

Legal name
TITUSVILLE AREA HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 7, 2018
Last certification
Nov 7, 2018
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Nov 26, 1984 in PA
Enrollment address
339 W Spring St
Titusville, PA 16354-1655
Related CCNs
391314

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

Other NPIs with the same Medicare PAC ID 15

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

View all 15

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
39D0936911Oil Valley Medical Group339 West Spring Street, Titusville, PA 16354Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory
Part of
Titusville Hospital

Member of 1

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

Locations

339 W Spring St
Titusville, PA 16354
Phone (814) 827-9675

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Lee M Clinton Individual OtherBoard Member Jan 1, 2021
Brenda Burnett Individual Other Oct 22, 2022
Lawrence Fledderman Individual Other Jan 1, 1998
Scott J McAllister Individual Other Jan 1, 2000
Amy Ruot Individual Other Oct 22, 2022
Patricia Walker Individual Other Jan 1, 2008
Nicole Dent-Fisher Individual Other Sep 21, 2022
Jason Reagle Individual Other Jan 1, 2011
Richard Carr Individual Other Jan 1, 2000
Shawn Sampson Individual Other Oct 22, 2022
Jill a Neely Individual Corporate DirectorChief Financial Officer Aug 1, 2007
Meadville Medical Center Organization, Meadville, PA Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2015 100%
Kenneth Winger Individual Other Jan 1, 2008
Joseph Carter Individual Other Jan 1, 1998
Stephen C Coleman Individual Other Jan 1, 1989
Kenneth Butler Individual Other Oct 22, 2022
Michelle Burdick Individual W-2 Managing EmployeePractice Manager Dec 4, 2016

Owners & managing parties with NPI records 22

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

View all 22

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 12

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": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1740774207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W OAK ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541404",
            "telephone_number": "814-827-1852",
            "fax_number": "814-827-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W SPRING ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541655",
            "telephone_number": "814-827-9675",
            "fax_number": "814-827-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITUSVILLE AREA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TITUSVILLE AREA HOSPITAL",
        "enumeration_date": "2018-06-19",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "VP REVENUE CYCLE SERVICES",
        "authorized_official_telephone_number": "814-827-1851"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oil Valley Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Titusville, PA

Sources for this page

Verify at the official NPI Registry.