Organization
BROOKVILLE HOSPITAL
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
PENN HIGHLANDS BROOKVILLE, PENN HIGHLANDS BROOKVILLE MEDICAL OFFICE BLDG
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
JULIANNE PEER (PRESIDENT/AUTHORIZED OFFICIAL)
(814) 849-1461
Entity
Organization
Contact information
Practice address
88 HOSPITAL RD, BROOKVILLE, PA 15825-1368
(814) 849-2312
(814) 849-4841
Mailing address
100 HOSPITAL RD, BROOKVILLE, PA 15825-1367
(814) 299-7556
(814) 372-2851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100773376
—
PA
Enumeration date
04/16/2020
Last updated
04/22/2020
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