Titusville Area Hospital
Organization Active NPI Rural Health Clinic/Center · Oil City, PA
NPI 1760976336 · NPPES record last updated Aug 27, 2025
Key facts
- NPI
- 1760976336
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- TITUSVILLE AREA HOSPITAL
- Practice address
- 116 Central Ave
Oil City, PA 16301-2736 - Phone
- (814) 676-0431
- Fax
- (814) 677-6342
- NPI assigned
- Jun 18, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- TITUSVILLE AREA HOSPITAL
Authorized official
- Name
- Jill Neely
- Title
- VP Revenue Cycle Services
- Phone
- (814) 827-1851
Owners & managing parties with NPI records 22
Other NPIs with the same Medicare PAC ID 15
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 7
Practitioners 90
-
Heidi Rae Gaddess, CRNP
-
Andrew Gunn, PA-C
-
Stacy Kowalczyk, CRNP
-
Brian A Los, MD
-
Renu Paneru, MD
-
Shannon M Vinson, PA-C
-
Richard B Whalen, MD
-
Charley B Gates, MD
-
McKenna Jaclyn Cole, CRNP
-
Cherish H Church, D.O.
-
Rose Therese Colt, D.O.
-
Martin Joseph Decker, D.O.
-
Melinda A Douglas, CRNP
-
Breann Estes, CRNP
-
Ryan Elizabeth Gannon, PA-C
-
Hannah Gill, CRNP
-
Allison Anna Kliber, M.D.
-
Cassandra May Kreider, CRNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0906026 | Oil Valley Internal Medicine | Certificate of waiver | Sep 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Rural health clinic certification: CCN 393441
- 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
- Corporation · Non-profit
- Incorporated
- Nov 26, 1984 in PA
- Enrollment address
- 116 Central Ave
Oil City, PA 16301-2736 - Related CCNs
- 391314
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Lee M Clinton |
Other |
Jan 1, 2021 | |
| Brenda Burnett |
Other | Oct 22, 2022 | |
| Lawrence Fledderman |
Other |
Jan 1, 1989 | |
| Scott J McAllister |
Other |
Jan 1, 2000 | |
| Amy Ruot |
Other | Oct 22, 2022 | |
| Patricia Walker |
Other |
Jan 1, 2008 | |
| Nicole Dent-Fisher |
Other | Sep 21, 2022 | |
| Jason Reagle |
Other |
Jan 1, 2011 | |
| Richard Carr |
Other |
Jan 1, 2000 | |
| Shawn Sampson |
Other | Oct 22, 2022 | |
| Jill a Neely |
Corporate Director |
Aug 1, 2007 | |
| Meadville Medical Center |
5% Or Greater Indirect Ownership Interest | Oct 1, 2015 | 100% |
| Kenneth Winger |
Other |
Jan 1, 2008 | |
| Joseph Carter |
Other |
Jan 1, 1989 | |
| Stephen C Coleman |
Other |
Jan 1, 1989 | |
| Kenneth Butler |
Other | Oct 22, 2022 | |
| Michelle Burdick |
W-2 Managing Employee |
Dec 4, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180727000364 | PA | Part a Provider - Rural Health Clinic | 8022907575 | Practice locations: Oil City, PA |
| O20181220000662 | PA | Part B Supplier - Clinic/Group Practice | 8022907575 |
Receives reassigned benefits from 14 practitioners Practice locations: Oil City, PA |
National Provider Directory
- Part of
- Titusville Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
116 Central Ave
Oil City, PA 16301-2736
Mailing address
406 W Oak St
Titusville, PA 16354-1404
Phone (814) 827-1852
Other names
- Oil Valley Internal Medicine
Other providers in Oil City, PA
- Brandy Taylor
- Erin Marie Taylor
- Melanie Taylor
- The Salvation Army
- Thomas Organization, LLC
- Upmc Community Medicine Inc
- Upmc Community Medicine Inc
- Vision Source Meadville LLC
- Elizabeth Vitelli
- Keith David Volk
All providers in Oil City, PA · Rural Health Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.