FULTON COUNTY MEDICAL CENTER (NPI# 1699737981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699737981 |
| Entity Type | Organization |
| Organization Name | FULTON COUNTY MEDICAL CENTER |
| Other Organization Name | SOUTHERN HUNTINGDON COUNTY MEDICAL CENTER |
| Practice Address |
Southern Huntingdon County Medical Center 626 Water Street, Ste#1 Orbisonia PA 17243 |
| Mailing Address |
214 Peach Orchard Rd Mc Connellsburg PA 17233-8559 |
| Practice Telephone | 8144475556 |
| Practice Fax Number | 8144475682 |
| Mailing Telephone | 7174852880 |
| Mailing Fax Number | 7174856105 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | MR. MICHAEL MAKOSKY (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7174856109 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0008434780002 | 05 |
| Other Name | Type Code |
|---|---|
| Southern Huntingdon County Medical Center | Doing Business As Name - Organization |
| Southern Huntingdon County Medical Service Committee,Inc. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871953737 | Fulton County Medical Center | Clinic/Center | 622 Water St, Orbisonia, PA 17243-9424 | 2016-03-04 |
| 1639606718 | Fulton County Medical Center | Family Medicine | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2017-05-19 |
| 1972964526 | Fulton County Medical Center | Clinic/Center | 622 Water St, Orbisonia, PA 17243-9424 | 2016-03-10 |
| 1649332636 | Fulton County Medical Center | Physical Therapist | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2006-12-15 |
| 1386722312 | Fulton County Medical Center | General Acute Care Hospital | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2006-11-01 |
| 1093899973 | Fulton County Medical Center | Long Term Care Hospital | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2006-10-25 |
| 1700834314 | Fulton County Medical Center | Skilled Nursing Facility | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2006-05-05 |
| 1255302402 | Fulton County Medical Center | Home Health | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2006-01-27 |
| 1174518518 | Fulton County Medical Center | Nursing Facility/Intermediate Care Facility | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2005-09-13 |
| 1326044694 | Fulton County Medical Center | Family Medicine | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233-8559 | 2005-06-22 |
| Street Address |
SOUTHERN HUNTINGDON COUNTY MEDICAL CENTER 626 WATER STREET, STE#1 |
| City | ORBISONIA |
| State | PA |
| Zip Code | 17243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770990277 | Tyler Seth Ruby | Pharmacist | 626 Water St Ste 3, Orbisonia, PA 17243 | 2014-07-16 |
| 1811325228 | Tyler Dwane Mansberger | Physician Assistant | 626 Water Street, Suite #1, Onbisonia, PA 17243 | 2013-10-22 |
| 1528120037 | Orby Pharmacy Inc | Pharmacy | 626 Water St, Suite 3, Orbisonia, PA 17243 | 2006-12-14 |
| 1508835885 | Gary Van Wertman | Family Medicine | 626 Water Street, Suite 1, Orbisonia, PA 17243 | 2006-03-17 |
| 1881680957 | Orbisonia Rockhill Fire Co Amb | Ambulance | 15 Elliott St, Orbisonia, PA 17243 | 2005-09-23 |
| 1265736664 | Daniel T Bender | Physician Assistant | 626 Water Street, Orbisonia, PA 17243 | 2010-12-29 |
| 1134439615 | Randi Mcgowan | Occupational Therapy Assistant | 18889 Croghan Pike, Orbisonia, PA 17243 | 2010-10-18 |
| 1164695060 | James William Rathke | Pharmacist | 626 Water St, Suite 3, Orbisonia, PA 17243 | 2008-04-11 |
| 1285771493 | Marybeth Harrington | Physical Therapist | 626 Water Street, Orbisonia, PA 17243 | 2007-01-30 |
| 1205930849 | John M Puskarich | Physical Therapist | 626 Water Street, Orbisonia, PA 17243 | 2006-09-12 |
| Find all providers in zip 17243 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| 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.