Provider Demographics
NPI:1144215039
Name:HIGHLANDS HOSPITAL AND HEALTH CENTER
Entity Type:Organization
Organization Name:HIGHLANDS HOSPITAL AND HEALTH CENTER
Other - Org Name:PENN HIGHLANDS CONNELLSVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE ANALYST/ENROLLMENT SUPV
Authorized Official - Prefix:
Authorized Official - First Name:JOURDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRISHOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-375-6160
Mailing Address - Street 1:401 E MURPHY AVE
Mailing Address - Street 2:
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-2724
Mailing Address - Country:US
Mailing Address - Phone:724-628-1500
Mailing Address - Fax:724-626-2217
Practice Address - Street 1:401 E MURPHY AVE
Practice Address - Street 2:
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-2724
Practice Address - Country:US
Practice Address - Phone:724-628-1500
Practice Address - Fax:724-626-2217
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PENN HIGHLANDS HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-09-16
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM1300X
PA037301282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000056000OtherTHREE RIVERS HEALTH PLAN
PA1069OtherBLUE CROSS SWING BED
PA0036OtherBLUE CROSS ACUTE
1503092OtherUPMC FOR YOU
000000060233OtherTHREE RIVERS HEALTH PLAN
1005837OtherGATEWAY
PA1304OtherBLUE CROSS STEP DOWN
PA1007769210009Medicaid
PA1007769210010Medicaid
401023OtherMEDICARE GROUP
50OtherUPMC
0013140OtherUSHC
PA1007769210016Medicaid
037331900OtherBLACK LUNG
1334532OtherUMWA