Organization
JC BLAIR MEMORIAL HOSPITAL
Active
Other names
Penn Highlands Huntingdon Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
TONI HETRICK (INSURANCE CREDENTIALING TECHNICIAN)
(814) 643-8295
Entity
Organization
Contact information
Practice address
900 BRYAN ST STE 7, HUNTINGDON, PA 16652-2413
(814) 643-1141
(814) 643-9451
Mailing address
1225 WARM SPRINGS AVE, HUNTINGDON, PA 16652-2398
(814) 643-1141
(814) 643-9451
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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