JC BLAIR MEMORIAL HOSPITAL (NPI# 1447877063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447877063 |
| Entity Type | Organization |
| Organization Name | JC BLAIR MEMORIAL HOSPITAL |
| Practice Address |
7651 Lake Raystown Shopping Ctr Huntingdon PA 16652-8403 |
| Mailing Address |
1225 Warm Springs Ave Huntingdon PA 16652-2398 |
| Practice Telephone | 8146438750 |
| Practice Fax Number | 8146438360 |
| Mailing Telephone | 8146438750 |
| Mailing Fax Number | 8146438360 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | TONI HETRICK (INSURANCE CREDENTIALING TECHNICIAN) |
| Authorized Official Telephone | 8146438295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Penn Highlands Huntingdon Convenient Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493790 | Jc Blair Memorial Hospital | Orthopaedic Surgery | 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652-8403 | 2020-07-06 |
| 1164049573 | Jc Blair Memorial Hospital | Physician Assistant | 900 Bryan St Ste 7, Huntingdon, PA 16652-2413 | 2020-07-01 |
| 1811514227 | Jc Blair Memorial Hospital | Internal Medicine | 1227 Warm Springs Ave Fl 2, Huntingdon, PA 16652-2300 | 2020-07-01 |
| 1275150682 | Jc Blair Memorial Hospital | Physician Assistant | 820 Bryan St Ste 3, Huntingdon, PA 16652-2409 | 2020-07-01 |
| 1427675040 | Jc Blair Memorial Hospital | Nurse Anesthetist, Certified Registered | 1225 Warm Springs Ave, Huntingdon, PA 16652-2398 | 2020-06-30 |
| 1710444641 | Jc Blair Memorial Hospital | Psychiatry & Neurology | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2019-02-27 |
| 1952766958 | Jc Blair Memorial Hospital | Obstetrics & Gynecology | 1227 Warm Springs Ave, Suite 302, Huntingdon, PA 16652-2300 | 2015-12-18 |
| 1306201306 | Jc Blair Memorial Hospital | Orthopaedic Surgery | 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652-8403 | 2015-12-18 |
| 1942665948 | Jc Blair Memorial Hospital | Surgery | 1225 Warm Springs Ave, Suite 203, Huntingdon, PA 16652-2350 | 2015-12-18 |
| 1548625445 | Jc Blair Memorial Hospital | Hospitalist | 1225 Warm Springs Ave, Huntingdon, PA 16652-2350 | 2015-12-18 |
| Street Address |
7651 LAKE RAYSTOWN SHOPPING CTR |
| City | HUNTINGDON |
| State | PA |
| Zip Code | 16652-8403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217045 | Robert R. Dahmus | Orthopaedic Surgery | 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652-8403 | 2005-07-05 |
| 1609493790 | Jc Blair Memorial Hospital | Orthopaedic Surgery | 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652-8403 | 2020-07-06 |
| 1740835552 | Jc Blair Medical Services Inc. | Orthopaedic Surgery | 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652-8403 | 2019-08-08 |
| 1790330835 | Jc Blair Medical Services Inc. | Clinic/Center | 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652-8403 | 2019-08-06 |
| 1306201306 | Jc Blair Memorial Hospital | Orthopaedic Surgery | 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652-8403 | 2015-12-18 |
| 1184058638 | Della M. Werner | Nurse Practitioner | 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652-8403 | 2013-09-01 |
| 1760740252 | Mandy Lynne Tipton | Physician Assistant | 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652-8403 | 2012-05-02 |
| 1104103365 | Wendy L Brown | Nurse Practitioner | 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652-8403 | 2011-11-15 |
| 1093709974 | William W Demuth | Orthopaedic Surgery | 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652-8403 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639733264 | Veronica Lee Curley | Nurse Practitioner | 1227 Warm Springs Ave Fl 2, Huntingdon, PA 16652 | 2019-04-29 |
| 1326510363 | Donald John Wetzel | Pharmacist | 611-619 Fiftennth St, Huntingdon, PA 16652 | 2018-12-31 |
| 1740759471 | Kitina Kay Bryson | Pharmacist | 611-619 15th St, Huntingdon, PA 16652 | 2018-11-26 |
| 1386124410 | Claudia Mcdowell | Physical Therapist | 295 S 4th St, Huntingdon, PA 16652 | 2018-08-17 |
| 1811474406 | Kylie Mcnerlin | Psychiatry & Neurology | 676 Washington Street, Huntingdon, PA 16652 | 2018-07-26 |
| 1154814002 | Bethany Ann Stough | Nurse Practitioner | 7651 Raystown Shopping Center, Huntingdon, PA 16652 | 2018-06-14 |
| 1922463694 | Children's Community Care | Pediatrics | 10663 Raystown Road, Suite B, Huntingdon, PA 16652 | 2015-12-23 |
| 1497133672 | Jc Blair Medical Services Inc. | Durable Medical Equipment & Medical Supplies | 7651 Lake Raystown Shopping Center Drive, Huntingdon, PA 16652 | 2015-05-08 |
| 1073991337 | Tracey Lee Hornak | Dental Hygienist | 6830 Toner Camp Road, Huntingdon, PA 16652 | 2015-05-07 |
| 1407253792 | Jeffrey Taylor | Nurse Anesthetist, Certified Registered | 1225 Warm Springs Ave., Huntingdon, PA 16652 | 2014-12-02 |
| Find all providers in zip 16652 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1033686159 | Star Wellness Center, Inc | General Practice | 511 E 3rd St Ste 202, Bethlehem, PA 18015-2180 | 2018-10-26 |
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| 1124510888 | Healing Place Medical, P.C. | General Practice | 1600 Horizon Dr Ste 122123, Chalfont, PA 18914-4100 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGDON |
| Zip Code | 16652 |
Please comment or provide details below to improve the information on JC BLAIR MEMORIAL HOSPITAL.
| 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.