# J C BLAIR MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** 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:** 1528810611
- **Legal business name:** PENN HIGHLANDS HEALTHCARE
- **Authorized official:** JOURDAN STRISHOCK (COMPLIANCE)
- **Authorized official phone:** (814) 375-6160

## Contact information

- **Practice address:** 239 COLONNADE BLVD, STATE COLLEGE, PA 16803-2668
- **Practice address phone:** (814) 643-8668
- **Mailing address:** 100 HOSPITAL AVE, DU BOIS, PA 15801-1440
- **Mailing address phone:** (814) 375-6160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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