Provider Demographics
NPI:1215770284
Name:HYNDMAN AREA HEALTH CENTER, INC
Entity type:Organization
Organization Name:HYNDMAN AREA HEALTH CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, CMO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRATTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-709-9801
Mailing Address - Street 1:1 CORPORATE DR STE 107
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-7941
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:227 FRANKLIN ST STE 304
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-1916
Practice Address - Country:US
Practice Address - Phone:814-634-4968
Practice Address - Fax:814-254-4020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)