BLAIRSVILLE FAMILY MEDICINE
NPI 1073538963
Family Medicine in Blairsville, PA

Active since July 13, 2006CLIA 39D0718858 · Waiver
56 CLUB LN, STE 102, BLAIRSVILLE, PA 15717(724) 459-5203(724) 459-0949 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blairsville Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAIRSVILLE FAMILY MEDICINE (NPI 1073538963) is a healthcare organization registered as a family medicine in Blairsville, Pennsylvania and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Melissa L Dishong, Vice President/exec Dir - Ehpp, as its authorized official.

NPPES Registry Identity

NPI1073538963
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLATROBE AREA HOSPITAL, INC.
Location Address56 CLUB LN, STE 102Blairsville, PA 15717-7957
Mailing Address134 Industrial Park Rd, Ste 2300aGreensburg, PA 15601-7328 · (724) 689-1835 · Fax (724) 850-8096
Fax(724) 459-0949
Organization SubpartYes
Authorized OfficialMelissa L DishongVice President/exec Dir - Ehpp · (724) 830-8500
Enumeration DateJuly 13, 2006
Last NPPES UpdateNovember 2, 2015
NPI 1073538963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

56 CLUB LN, Blairsville, PA 15717

Other Names 1

Other NameBlairsville Family Medicine

Other Identifiers 3

Other797869PA · Highmark
Medicare PIN401949PA
Medicaid100761052PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0718858

Blairsville Family Medicine · Blairsville, PA
Active · expires Jan 31, 2028
CLIA Number39D0718858
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorDr. Alexa J. Marconi
Laboratory Phone(724) 459-5203
Laboratory LocationBlairsville Family Medicine56 Club Lane Suite 102, Blairsville, PA 15717
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
56 CLUB LN
BLAIRSVILLE, PA 15717
Family Medicine
56 CLUB LN
BLAIRSVILLE, PA 15717
Family Medicine
56 CLUB LN
BLAIRSVILLE, PA 15717
Nurse Practitioner (Family)
56 CLUB LN
BLAIRSVILLE, PA 15717
Physician Assistant
56 CLUB LN
BLAIRSVILLE, PA 15717
Non-Pharmacy Dispensing Site
56 CLUB LN, SUITE 203
BLAIRSVILLE, PA 15717
Physician Assistant (Medical)
56 CLUB LN
BLAIRSVILLE, PA 15717
Family Medicine
56 CLUB LN, SUITE 203
BLAIRSVILLE, PA 15717

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073538963, enumerated as an "organization" on July 13, 2006.

The provider is located at 56 CLUB LN STE 102 BLAIRSVILLE, PA 15717 and the phone number is (724) 459-5203.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.