BROAD TOP AREA MEDICAL CENTER INC NPI 1649769589

NPI Information

NPI: 1649769589
Provider Name: BROAD TOP AREA MEDICAL CENTER, INC

Doing Business As: WALK IN CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
6678 TOWNE CENTER BLVD
HUNTINGDON, PA
ZIP 16652
Phone: (814) 635-1232
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BROAD TOP AREA MEDICAL CENTER, INC is a federally qualified health center (fqhc) clinic center in Huntingdon, PA. BROAD TOP AREA MEDICAL CENTER, INC NPI is 1649769589. The provider is registered as an organization entity type.
The provider Is Doing Business As Walk In Clinic.

The provider's business location address is:

6678 TOWNE CENTER BLVD
HUNTINGDON, PA
ZIP 16652-934
Phone: (814) 635-1232

The provider's authorized official is John Roth .
The authorized official title is Ceo and has the following contact phone number (814) 635-2916.

The CLIA number assigned to this NPI record is 39D2148358 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2018 and was last updated on 11/20/2023.

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

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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