BROOKVILLE HOSPITAL (NPI# 1245859545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245859545 |
| Entity Type | Organization |
| Organization Name | BROOKVILLE HOSPITAL |
| Other Organization Name | PENN HIGHLANDS BROOKVILLE MEDICAL OFFICE BLDG |
| Practice Address |
88 Hospital Rd Brookville PA 15825-1368 |
| Mailing Address |
100 Hospital Rd Brookville PA 15825-1367 |
| Practice Telephone | 8148492312 |
| Practice Fax Number | 8148494841 |
| Mailing Telephone | 8142997556 |
| Mailing Fax Number | 8143722851 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | JULIANNE PEER (PRESIDENT/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8148491461 |
| Is Organization Subpart | Y |
| Parent Organization Name | PENN HIGHLANDS HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100773376 | 05 |
| Other Name | Type Code |
|---|---|
| PENN HIGHLANDS BROOKVILLE | Doing Business As Name - Organization |
| PENN HIGHLANDS BROOKVILLE MEDICAL OFFICE BLDG | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871115642 | Brookville Hospital | Internal Medicine | 88 Hospital Rd Fl 1, Brookville, PA 15825-1368 | 2020-05-14 |
| 1629697925 | Brookville Hospital | Surgery | 88 Hospital Rd, Brookville, PA 15825-1368 | 2020-04-16 |
| 1669831988 | Brookville Hospital | Pediatrics | 551 W Mahoning St, Punxsutawney, PA 15767-1909 | 2016-02-15 |
| 1972974533 | Brookville Hospital | Family Medicine | 551 W Mahoning St, Punxsutawney, PA 15767-1909 | 2015-10-08 |
| 1417331554 | Brookville Hospital | Family Medicine | 271 Railroad Street, Philipsburg, PA 16866 | 2015-07-18 |
| 1821425273 | Brookville Hospital | Family Medicine | 1323 Brookville St, Fairmount City, PA 16224-1139 | 2013-10-01 |
| 1356778773 | Brookville Hospital | Family Medicine | 125 Chestnut Street, Marienville, PA 16239-0463 | 2013-09-30 |
| 1811271711 | Brookville Hospital | Psychiatric Unit | 100 Hospital Rd, Brookville, PA 15825-1367 | 2011-10-11 |
| 1235465592 | Brookville Hospital | Clinic/Center | 125 Chestnut Street, Marienville, PA 16239 | 2009-10-21 |
| 1780826438 | Brookville Hospital | Internal Medicine | 100 Hospital Rd, Brookville, PA 15825 | 2009-03-26 |
| Street Address |
88 HOSPITAL RD |
| City | BROOKVILLE |
| State | PA |
| Zip Code | 15825-1368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053930362 | Dubois Regional Medical Center | Internal Medicine | 88 Hospital Rd, Brookville, PA 15825-1368 | 2020-04-16 |
| 1629697925 | Brookville Hospital | Surgery | 88 Hospital Rd, Brookville, PA 15825-1368 | 2020-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902265424 | Tara Rickard | Counselor | 16 Richards St, Brookville, PA 15825 | 2016-02-11 |
| 1124432554 | Stephen Sheer | Specialist/Technologist | 117b Valley St, Brookville, PA 15825 | 2014-06-13 |
| 1962814830 | Wendy Reynolds | Registered Nurse | 218 Jefferson Street, Brookville, PA 15825 | 2014-05-28 |
| 1023311461 | Shana Stevens | Nurse Anesthetist, Certified Registered | Brookville Hospital, Brookville, PA 15825 | 2010-12-07 |
| 1659538668 | Amanda M Chamberlin | Family Medicine | 477 Rt 28, Brookville, PA 15825 | 2008-05-19 |
| 1609088111 | Roberta Justine Ganoe | Occupational Therapist | 1334 Mays Road, Brookville, PA 15825 | 2007-05-04 |
| 1538387634 | Hallie Smith Carlton | Counselor | 115 Mabon Street, Brookville, PA 15825 | 2007-04-23 |
| 1841348927 | Sarah M Kirk | Specialist/Technologist | 96 Jenks St., Brookville, PA 15825 | 2007-01-08 |
| 1396783783 | Denny Tang | Surgery | 240 Allegheny Blvd Ste F, Brookville, PA 15825 | 2006-06-04 |
| 1932169828 | Susan Ann Connor | Family Medicine | 240 Allegheny Blvd., Ste. F, Brookville, PA 15825 | 2006-03-24 |
| Find all providers in zip 15825 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1477021921 | Tower Health Urgent Care, LLC | Clinic/Center | 1139 Ben Franklin Pkwy, Douglassville, PA 19518 | 2018-11-02 |
| Find all providers with the same taxonomy | ||||
| City | BROOKVILLE |
| Zip Code | 15825 |
Please comment or provide details below to improve the information on BROOKVILLE HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.