Healthcare Provider Details

I. General information

NPI: 1740774207
Provider Name (Legal Business Name): TITUSVILLE AREA HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2018
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 W SPRING ST
TITUSVILLE PA
16354-1655
US

IV. Provider business mailing address

406 W OAK ST
TITUSVILLE PA
16354-1404
US

V. Phone/Fax

Practice location:
  • Phone: 814-827-9675
  • Fax: 814-827-0216
Mailing address:
  • Phone: 814-827-1852
  • Fax: 814-827-3099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JILL NEELY
Title or Position: VP REVENUE CYCLE SERVICES
Credential:
Phone: 814-827-1851