Healthcare Provider Details

I. General information

NPI: 1073601399
Provider Name (Legal Business Name): HUNTINGDON FAMILY CARE ASSOC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 12/16/2020
Certification Date: 12/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6368 JASON DR
HUNTINGDON PA
16652-8508
US

IV. Provider business mailing address

6368 JASON DR
HUNTINGDON PA
16652-8508
US

V. Phone/Fax

Practice location:
  • Phone: 814-599-6129
  • Fax: 814-260-4221
Mailing address:
  • Phone: 814-599-6129
  • Fax: 814-260-4221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOSO10749L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AMY E SWINDELL
Title or Position: PRACTITIONER OWNER
Credential: DO
Phone: 814-599-6129