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Organization
J C BLAIR MEMORIAL HOSPITAL
Active
Organization
J C BLAIR MEMORIAL HOSPITAL
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands State College, A Campus of Penn Highlands Huntingdon
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
JOURDAN STRISHOCK (COMPLIANCE)
(814) 375-6160
Entity
Organization
Contact information
Practice address
239 COLONNADE BLVD, STATE COLLEGE, PA 16803-2668
(814) 643-8668
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
NULL
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
NULL
207QA0505X
Adult Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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