FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC. (NPI# 1295005361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295005361 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC. |
| Other Organization Name | FAMILY HEALTH CENTER |
| Practice Address |
83 Hillcrest Dr Suite 200 Punxsutawney PA 15767-2605 |
| Practice Telephone | 8149383550 |
| Practice Fax Number | 8149383679 |
| Mailing Telephone | 8149383550 |
| Mailing Fax Number | 8149383679 |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2015-04-28 |
| Authorized Official Name | DR. PHILLIP JOHN STATES (OWNER/PROPRIETOR) |
| Authorized Official Telephone | 8149383550 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
393918 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RHC CCN | 393918 | 01 | |
| PA | 1019257860003 | 05 |
| Other Name | Type Code |
|---|---|
| Family Health Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC. | 81 Hillcrest Drive, Punxsutawney, PA 15767-2605 |
| Street Address |
83 HILLCREST DR SUITE 200 |
| City | PUNXSUTAWNEY |
| State | PA |
| Zip Code | 15767-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235678 | Dawn E Cekovsky | Physician Assistant | 83 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2005-09-13 |
| 1215335302 | Punxsutawney Medical Services | Neuromusculoskeletal Medicine & OMM | 83 Hillcrest Dr, Suite 100, Punxsutawney, PA 15767-2605 | 2014-12-05 |
| 1427335058 | Primary Health Network | Clinic/Center | 83 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2011-11-10 |
| 1386859205 | Mazen Hasan | Urology | 83 Hillcrest Dr, Suite 100, Punxsutawney, PA 15767-2605 | 2007-05-14 |
| 1063636629 | Gustavo Jose Franco Vasquez | Surgery | 83 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2007-04-12 |
| 1720179864 | Heather M Park | Physician Assistant | 83 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2006-09-27 |
| 1871536821 | Punxsutawney Medical Associates, PC | Family Medicine | 83 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2006-06-14 |
| 1093791246 | Phillip John States | Family Medicine | 83 Hillcrest Dr, Suite 200, Punxsutawney, PA 15767-2605 | 2005-12-20 |
| 1962402339 | Primary Health Network | Physician Assistant | 83 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754765 | Bearing Hope LLC | Counselor | 103 N Gilpin Street, Suite 314, Punxsutawney, PA 15767 | 2020-03-04 |
| 1679947378 | George Carlson | Health Maintenance Organization | 6068 Route 119, Punxsutawney, PA 15767 | 2015-11-18 |
| 1104211515 | Danielle Marie Nelson | Counselor | 200 Prushnok Drive Suite #103, Punxsutawney, PA 15767 | 2015-04-02 |
| 1124413539 | Amanda Marie Rowland | Counselor | 200 Prushnok Drive, Suite #103, Punxsutawney, PA 15767 | 2015-04-02 |
| 1821492083 | Collin Ross Nordby | Counselor | 200 Prushnok Drive, Suite 103, Punxsutawney, PA 15767 | 2014-10-17 |
| 1245545813 | Maureen Murphy Ginsburg | Physical Medicine & Rehabilitation | 551 W Mahoning St, Punxsutawney, PA 15767 | 2010-08-08 |
| 1932384138 | Donald M. Pallone | Nurse Practitioner | 531 North Main Street, Punxsutawney, PA 15767 | 2008-01-07 |
| 1952521106 | Anita Irene Baker | Physical Therapist | 217 Mcgee Lane, Punxsutawney, PA 15767 | 2007-04-30 |
| 1639290091 | Community Guidance Center | Clinic/Center | 200 Prushnok Drive - Lever Street, Suite 103, Punxsutawney, PA 15767 | 2007-04-03 |
| 1487602983 | Mulberry Square Elder Care and Rehabilitation Center LLC | Skilled Nursing Facility | 411 1/2 West Mahoning Street, Punxsutawney, PA 15767 | 2006-05-05 |
| Find all providers in zip 15767 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376865816 | Phillip States, Md, Family Practice | Clinic/Center | 81 Hillcrest Dr, Suite 1300, Punxsutawney, PA 15767-2605 | 2010-02-25 |
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|---|---|---|---|---|
| 1487266029 | Upmc Kane | Clinic/Center | 511 South Main Street, Sheffield, PA 16347 | 2020-08-17 |
| 1174176796 | Cornerstone Coordinated Health Care, LLC | Clinic/Center | 2114 Centre St, Ashland, PA 17921-1015 | 2019-07-23 |
| 1053873976 | Titusville Area Hospital | Clinic/Center | 10926 State Highway 18, Conneaut Lake, PA 16316-3526 | 2019-04-01 |
| 1760954721 | The Carbon-schuylkill Community Hospital, Inc. | Clinic/Center | 100 W Patterson St, Suite 201, Lansford, PA 18232 | 2018-12-31 |
| 1548761935 | The Carbon-schuylkill Community Hospital, Inc. | Clinic/Center | 411 S Shenandoah Rd, Ringtown, PA 17967-9432 | 2018-02-22 |
| 1790191948 | Dlp Conemaugh Physician Practices LLC | Clinic/Center | 1609 W. Pitt St., Jennerstown, PA 15547 | 2014-07-09 |
| 1922429133 | Tyrone Hospital | Clinic/Center | 221 Hospital Dr Ste 6, Tyrone, PA 16686-1826 | 2013-12-16 |
| 1124456157 | Tyrone Hospital | Clinic/Center | 125 Spring Street, Houtzdale, PA 16651 | 2013-10-30 |
| 1831466937 | Conemaugh Health Initiatives | Clinic/Center | 1611 W. Pitt Street, Jennerstown, PA 15547-0190 | 2011-11-18 |
| 1245419639 | Pinnacle Health Partners Inc. | Clinic/Center | Hc 1 Box 2170, Tafton, PA 18464-9714 | 2007-11-01 |
| Find all providers with the same taxonomy | ||||
| City | PUNXSUTAWNEY |
| Zip Code | 15767 |
Please comment or provide details below to improve the information on FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.