HYNDMAN AREA HEALTH CENTER INC. NPI 1487075131

NPI Information

NPI: 1487075131
Provider Name: HYNDMAN AREA HEALTH CENTER, INC.

Other Name: HAHC - DENTAL CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
144 5TH AVE
HYNDMAN, PA
ZIP 15545
Phone: (814) 842-3206
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HYNDMAN AREA HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Hyndman, PA. HYNDMAN AREA HEALTH CENTER, INC. NPI is 1487075131. The provider is registered as an organization entity type.
The provider Other Name Is Hahc - Dental Clinic.

The provider's business location address is:

144 5TH AVE
HYNDMAN, PA
ZIP 15545-379
Phone: (814) 842-3206
Fax: (814) 842-3746

The provider's authorized official is William Kurtycz .
The authorized official title is Ceo and has the following contact phone number (814) 709-9801.

The CLIA number assigned to this NPI record is 39D2265142 - mobile laboratory with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/26/2013 and was last updated on 8/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1007332810003	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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