Provider Demographics
NPI:1831596006
Name:J C BLAIR MEDICAL SERVICES, INC
Entity type:Organization
Organization Name:J C BLAIR MEDICAL SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-643-8445
Mailing Address - Street 1:900 BRYAN ST STE 7
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-2413
Mailing Address - Country:US
Mailing Address - Phone:814-643-8300
Mailing Address - Fax:814-643-8299
Practice Address - Street 1:900 BRYAN ST STE 2
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-2413
Practice Address - Country:US
Practice Address - Phone:814-643-8556
Practice Address - Fax:814-643-8490
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J C BLAIR MEDICAL SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty