NPIMap

Organization Active NPI

Tyrone Hospital

Doing business as Penn Highlands Tyrone

  • Rural Health Clinic/Center
  • Tyrone, PA
National Provider Identifier
1922429133
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TYRONE HOSPITAL
Doing business as
Penn Highlands Tyrone
Tyrone Hospital Rural Health Clinic
Practice address
221 Hospital Dr Ste 6
Tyrone, PA 16686-1826
Phone
(814) 684-3103
NPI assigned
Dec 16, 2013
Last updated
Mar 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN HIGHLANDS HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Brian S Kline
Title
VP of Financial Affairs
Phone
(814) 375-6377

Specialties & licenses 1

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

Addresses

Primary practice location

221 Hospital Dr Ste 6
Tyrone, PA 16686-1826

Mailing address

187 Hospital Dr
Tyrone, PA 16686-1808
Phone (814) 375-4200

Other identifiers 2

IdentifierTypeStateIssuer
393427OtherPAPTAN
100773400-0026MedicaidPA

Other names 3

  • PENN HIGHLANDS TYRONE Doing business as
  • Tyrone Hospital Rural Health Clinic Doing business as
  • PENN HIGHLANDS TYRONE RURAL HEALTH CLINIC Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130725000006 PA Part A Provider - Rural Health Clinic 4183619885 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tyrone, PA
O20140905000044 PA Part B Supplier - Clinic/Group Practice 4183619885 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
Practice locations: Houtzdale, PA; Tyrone, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922429133. Details of each certification follow.

Rural health clinic certification: CCN 393425

Legal name
TYRONE HOSPITAL
Doing business as
PENN HIGHLANDS TYRONE RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 27, 2013
Last certification
Dec 2, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
May 1, 2013 in PA
Enrollment address
221 Hospital Drive
Suite 6
Tyrone, PA 16686-1826
Related CCNs
391307

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Tyrone Hospital Emer Me

Locations

120 Spring St
Houtzdale, PA 16651
Phone (814) 497-4297

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Jourdan D Strishock Individual W-2 Managing EmployeeCompliance Supervisor Aug 1, 2021
Robert a Ordiway Individual Corporate Director Jul 1, 2019
Thomas a Carnevale Individual Corporate Director Jul 1, 2021
Heather Schneider Individual Corporate DirectorCfo May 10, 2022
W-2 Managing Employee May 10, 2022
Fred Price Individual Corporate Director Jul 1, 2022
Hazem F Elkassas Individual Corporate Director Jul 1, 2020
Penn Highlands Healthcare, Inc. Organization, Du Bois, PA Non-profit Operational/Managerial Control Nov 1, 2020
Robert W O'Leary Individual Corporate Director Jul 1, 2021
Tyrone Hospital Organization, Tyrone, PA Non-profit 5% Or Greater Direct Ownership Interest Apr 15, 2013 100%
Joanne Ryan Individual Corporate Director Jul 1, 2022
David Lezzer Individual Corporate Director Jul 1, 2021
Lawrence Kiefer Individual Corporate Director Jul 1, 2022
Todd P Stoltz Individual Corporate Director Jul 1, 2022
Carlyn Belczyk Individual Corporate Director Oct 1, 2021
Samuel Lewis Individual Corporate Director Feb 1, 2021
Bradley Bassi Individual Corporate Director Oct 1, 2021
Richard L Pfingstler Individual Corporate Director Jul 1, 2021
Donald E Conrad Individual Corporate Director Jul 1, 2021
Scott H Foradora Individual Corporate Director Jul 1, 2020
William H Young Individual Corporate Director Jul 1, 2021
Mark McGinley Individual Corporate Director Oct 1, 2021
James B Ryan Individual Corporate Director Jul 1, 2020

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Penn Highlands Tyrone Rural Health ClinicTyrone, PA, CCN 393425 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 15, 2013
Penn Highlands TyroneHoutzdale, PA, CCN 393427 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Tyrone Hospital

    dba Penn Highlands Tyrone

    • Rural Health Clinic/Center
    • Houtzdale, PA
    • NPI 1124456157

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Tyrone Hospital

    dba Penn Highlands Tyrone

    • Critical Access Hospital
    • Tyrone, PA
    • NPI 1659472447

    5% Or Greater Direct Ownership Interest

    CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1922429133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 HOSPITAL DR",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861808",
            "telephone_number": "814-375-4200",
            "fax_number": "814-375-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 HOSPITAL DR STE 6",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861826",
            "telephone_number": "814-684-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRONE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2013-12-16",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP OF FINANCIAL AFFAIRS",
        "authorized_official_telephone_number": "814-375-6377"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "393427",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773400-0026",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENN HIGHLANDS TYRONE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tyrone Hospital Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PENN HIGHLANDS TYRONE RURAL HEALTH CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tyrone, PA

Sources for this page

Verify at the official NPI Registry.