Provider Demographics
NPI:1205867009
Name:HUNTINGDON HEALTHCARE, INC
Entity Type:Organization
Organization Name:HUNTINGDON HEALTHCARE, INC
Other - Org Name:JUNIATA VALLEY MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:IRVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-386-1360
Mailing Address - Street 1:PO BOX 355
Mailing Address - Street 2:846 MEDICAL CENTER DR
Mailing Address - City:ALEXANDRIA
Mailing Address - State:PA
Mailing Address - Zip Code:16611-0355
Mailing Address - Country:US
Mailing Address - Phone:814-669-4444
Mailing Address - Fax:814-669-1971
Practice Address - Street 1:846 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:PA
Practice Address - Zip Code:16611-0355
Practice Address - Country:US
Practice Address - Phone:814-669-4444
Practice Address - Fax:814-669-1971
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUNTINGDON HEALTHCARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-06
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018907590007Medicaid
PA057244Medicare PIN
PA0018907590007Medicaid