Organization Active NPI

The Health Center for Integrative Medicine

  • Family Medicine Physician
  • Washington, PA
National Provider Identifier
1780120501
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD064028L Issued in PA
Legal business name
THE HEALTH CENTER FOR INTEGRATIVE MEDICINE
Practice address
741 Locust Avenue
Washington, PA 15301-2735
Phone
(724) 906-4798
Fax
(724) 918-9068
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Tammi Sue Horr
Title
Office Manager
Phone
(724) 906-4798

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X PAK000186 PA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD064028L PA Primary

Addresses

Primary practice location

741 Locust Avenue
Washington, PA 15301-2735

Mailing address

741 Locust Avenue
Washington, PA 15301-2735
Phone (724) 906-4798

Other identifiers 3

IdentifierTypeStateIssuer
1962453696OtherPANPI (TYPE I)
0016929680001MedicaidPA
MD064028LOtherPAMEDICAL LICENSE

Other names 1

  • HCIM Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170718000589 PA Part B Supplier - Clinic/Group Practice 6204106685 Receives reassigned benefits from 4 practitioners
Practice locations: Washington, PA

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
39D2125671The Health Center for Integrative Medicine (Hcim)741 Locust Avenue, Washington, PA 15301Certificate of waiverFeb 10, 2027

National Provider Directory

National Provider Directory

Locations

741 Locust Ave
Washington, PA 15301
Phone (724) 906-4798

470 Johnson Rd
Ste 160
Washington, PA 15301
Phone (724) 906-4798

Practitioners & affiliated clinicians

Practitioners 4

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": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1780120501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 LOCUST AVENUE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153012735",
            "telephone_number": "724-906-4798",
            "fax_number": "724-918-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 LOCUST AVENUE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153012735",
            "telephone_number": "724-906-4798",
            "fax_number": "724-918-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH CENTER FOR INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "HORR",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-906-4798"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "PAK000186",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD064028L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (TYPE I)",
            "identifier": "1962453696",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016929680001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD064028L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCIM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HCIM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.