Healthcare Provider Details
I. General information
NPI: 1588645618
Provider Name (Legal Business Name): AMY E SWINDELL D.O
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/07/2005
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6680 TOWNE CENTER BLVD
HUNTINGDON PA
16652-6934
US
IV. Provider business mailing address
6680 TOWNE CENTER BLVD
HUNTINGDON PA
16652-6934
US
V. Phone/Fax
- Phone: 800-445-6262
- Fax: 814-940-8471
- Phone: 800-445-6262
- Fax: 814-940-8471
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | OS010749L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | OS010746L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: