Provider Demographics
NPI:1215955646
Name:HEALTH FIRST OF BLAIR COUNTY
Entity type:Organization
Organization Name:HEALTH FIRST OF BLAIR COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD CA
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPION
Authorized Official - Suffix:
Authorized Official - Credentials:BILLING
Authorized Official - Phone:814-941-1400
Mailing Address - Street 1:1915 VALLEY VIEW BLVD REAR
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-6527
Mailing Address - Country:US
Mailing Address - Phone:814-941-1400
Mailing Address - Fax:814-941-0862
Practice Address - Street 1:1554 VALLEY VIEW BLVD REAR
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-6039
Practice Address - Country:US
Practice Address - Phone:814-941-1400
Practice Address - Fax:814-941-0862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC0041915L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1575599OtherPA HIGHMARK
PA081493Medicare ID - Type Unspecified