Provider Demographics
NPI:1073601399
Name:HUNTINGDON FAMILY CARE ASSOC LLC
Entity Type:Organization
Organization Name:HUNTINGDON FAMILY CARE ASSOC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SWINDELL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:814-599-6129
Mailing Address - Street 1:6368 JASON DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-8508
Mailing Address - Country:US
Mailing Address - Phone:814-599-6129
Mailing Address - Fax:814-260-4221
Practice Address - Street 1:6368 JASON DR
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-8508
Practice Address - Country:US
Practice Address - Phone:814-599-6129
Practice Address - Fax:814-260-4221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOSO10749L207Q00000X
207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001387320OtherBLUE CROSS/BLUE SHIELD
PA001904999003Medicaid
PA001904999003Medicaid