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General NPI Number Information
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NPI Number | 1811514227
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Entity Type | Organization
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Legal Business Name | JC BLAIR MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1227 WARM SPRINGS AVE STE 201
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City | HUNTINGDON
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State | PA
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Zip | 16652-2300
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Country | US
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Telephone | 814-643-8225
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Fax | 814-643-7043
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Provider Business Mailing Address
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Address Line | 1225 WARM SPRINGS AVE
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City | HUNTINGDON
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State | PA
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Zip | 16652-2398
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Country | US
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Telephone | 814-375-4200
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Fax | 814-375-4232
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Authorized Official
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Title or Position | COMPLIANCE DIRECTOR/DO
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Name | JOURDAN STRISHOCK
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Credential |
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Telephone | 814-375-6160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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