NPIMap

Organization Active NPI

Titusville Area Hospital

Doing business as Meadville Community Health Center

  • Rural Health Clinic/Center
  • Meadville, PA
National Provider Identifier
1962964981
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TITUSVILLE AREA HOSPITAL
Doing business as
Meadville Community Health Center
Practice address
640 Alden St - Medical
Meadville, PA 16335-2348
Phone
(814) 373-5255
Fax
(814) 373-5259
NPI assigned
Apr 1, 2019
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Jill Ann Neely
Title
Chief Financial Officer
Phone
(814) 827-1851

Specialties & licenses 1

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

Addresses

Primary practice location

640 Alden St - Medical
Meadville, PA 16335-2348

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 373-5255

Other practice location 1

640 Alden St - BH
Meadville, PA 16335-2348
Phone (814) 373-5266

Other practice location 2

640 Alden St - Oupt D&A
Meadville, PA 16335-2348
Phone (814) 333-5933

Other names 1

  • MEADVILLE COMMUNITY HEALTH CENTER Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190515001883 PA Part A Provider - Rural Health Clinic 8022907575 Practice locations: Meadville, PA
O20190603002047 PA Part B Supplier - Hospital Department(S) 8022907575 Receives reassigned benefits from 44 practitioners
4 other NPIs on this enrollment
Practice locations: Cambridge Springs, PA; Conneaut Lake, PA; Conneautville, PA; Meadville, PA; Saegertown, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962964981. Details of each certification follow.

Rural health clinic certification: CCN 393434

Legal name
TITUSVILLE AREA HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 1, 2016
Last certification
Sep 10, 2025
Ownership / control type
2B
Most recent change of ownership
Jun 1, 2019 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Nov 26, 1984 in PA
Enrollment address
640 Alden St
Meadville, PA 16335-2348
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

Other NPIs on the same Medicare enrollment 4

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

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
39D1068644Meadville Community Health Center640 Alden Street, Meadville, PA 16335Certificate of waiverMay 16, 2027

National Provider Directory

National Provider Directory

Locations

906 Washington St
Conneautville, PA 16406
Phone (814) 373-2276

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jill a Neely Individual Corporate OfficerChief Financial Officer Jun 1, 2019
W-2 Managing EmployeeChief Financial Officer Jun 1, 2019
Cory F Jackson Individual W-2 Managing EmployeeController Jun 1, 2019
Renato Suntay Individual Operational/Managerial ControlCfo Jun 1, 2019

Change-of-ownership history 1

DateEventCounterparty
Jun 1, 2019 Change of OwnershipThis provider was the buyer Meadville Community Health CenterCCN 393434, PA, NPI 1730570573

Practitioners & affiliated clinicians

Practitioners 52

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 52

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1962964981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ALDEN ST - MEDICAL",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352348",
            "telephone_number": "814-373-5255",
            "fax_number": "814-373-5259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Alden St - BH",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352348",
            "country_code": "US",
            "telephone_number": "814-373-5266",
            "fax_number": "814-373-5269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Alden St - Oupt D&A",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352348",
            "country_code": "US",
            "telephone_number": "814-333-5933",
            "fax_number": "814-333-5553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TITUSVILLE AREA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "814-827-1851"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEADVILLE COMMUNITY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.