Organization
J C BLAIR MEMORIAL HOSPITAL
Active
Other names
Penn Highlands Huntingdon Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
JOURDAN STRISHOCK (ENROLLMENT SUPERVISOR)
(814) 375-6160
Entity
Organization
Contact information
Practice address
611 UNIVERSITY DR, STATE COLLEGE, PA 16801-6552
(814) 954-4872
Mailing address
187 HOSPITAL DR, TYRONE, PA 16686-1808
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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