Provider Demographics
NPI:1609493790
Name:J C BLAIR MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:J C BLAIR MEMORIAL HOSPITAL
Other - Org Name:PENN HIGHLANDS HUNTINGDON ORTHOPEDIC CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE
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 1:1225 WARM SPRINGS AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-2398
Mailing Address - Country:US
Mailing Address - Phone:814-643-8295
Mailing Address - Fax:814-643-7021
Practice Address - Street 1:1227 WARM SPRINGS AVE STE 201
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-2300
Practice Address - Country:US
Practice Address - Phone:814-643-8295
Practice Address - Fax:814-643-7021
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PENN HIGHLANDS HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-06
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty