JC BLAIR MEMORIAL HOSPITAL
NPI 1093567182
Internal Medicine - Pulmonary Disease in State College, PA

Active since April 03, 2024
239 COLONNADE BLVD, STATE COLLEGE, PA 16803(814) 375-3770 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jc Blair Memorial Hospital NPPES

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

JC BLAIR MEMORIAL HOSPITAL (NPI 1093567182), doing business as Penn Highlands State College, A Campus Of Penn Highlands Huntingdon, is a healthcare organization registered as a pulmonary disease in State College, Pennsylvania and active in the NPI registry since April 2024. The organization lists Jourdan Strishock, Compliance, as its authorized official.

NPPES Registry Identity

NPI1093567182
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameJC BLAIR MEMORIAL HOSPITAL
Location Address239 COLONNADE BLVDState College, PA 16803-2668
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-6160
Organization SubpartYesParent: Penn Highlands Healthcare
Authorized OfficialJourdan StrishockCompliance · (814) 375-6160
Enumeration DateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1093567182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedPulmonary Function TechnologistTaxonomy 225B00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
239 COLONNADE BLVD, State College, PA 16803

Other Names 1

Doing Business AsPenn Highlands State College, A Campus Of Penn Highlands Huntingdon

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jc Blair Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20040121000045Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Jc Blair Memorial Hospital, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner15
Family Practice5
Certified Registered Nurse Anesthetist (CRNA)4
Emergency Medicine3
Orthopedic Surgery3
Gastroenterology2
General Surgery2
Internal Medicine2
8 other specialties9

Nearest to this location (20)

See all 45
Nurse Practitioner
NPI 1699289330
239 COLONNADE BLVD FL 2
State College, PA 16803
(814) 375-3770
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750774691
239 COLONNADE BLVD FL 2
State College, PA 16803
(582) 220-2215
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1477843050
239 COLONNADE BLVD
State College, PA 16803
(582) 220-2310
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1871237537
239 COLONNADE BLVD 2ND FLOOR
State College, PA 16803
(582) 220-2305
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1356313852
239 COLONNADE BLVD
State College, PA 16803
(582) 220-2218
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609394626
132 ABIGAIL LN
Port Matilda, PA 16870
(814) 272-7100
✔ PECOS✔ Accepts Medicare2.1 mi
Anesthesiology
NPI 1790710358
1800 E PARK AVE
State College, PA 16803
(814) 231-7000
✔ PECOS✔ Accepts Medicare3.1 mi
Hematology/Oncology
NPI 1659340818
1800 EAST PARK AVE LANCE AND ELLEN SHANER CANCER PAVILION
State College, PA 16803
(814) 231-7800
✔ PECOS✔ Accepts Medicare3.1 mi
Orthopedic Surgery
NPI 1376648543
476 ROLLING DRIVE DRIVE SUITE 200
State College, PA 16801
(814) 231-2101
✔ PECOS✔ Accepts Medicare4.6 mi
Nurse Practitioner
NPI 1780552943
271 RAILROAD ST
Philipsburg, PA 16866
(814) 342-1872
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1649762592
271 RAILROAD ST
Philipsburg, PA 16866
(814) 342-9701
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1174402135
271 RAILROAD ST
Philipsburg, PA 16866
(814) 342-1872
✔ PECOS✔ Accepts Medicare18 mi
Rheumatology
NPI 1790785582
154 HOSPITAL DR
Tyrone, PA 16686
(814) 684-6341
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1891361234
3228 COLD SPRINGS RD
Huntingdon, PA 16652
(814) 643-6462
✔ PECOS✔ Accepts Medicare22 mi
Emergency Medicine
NPI 1811526551
400 HIGHLAND AVE
Lewistown, PA 17044
(717) 242-7185
✔ PECOS✔ Accepts Medicare22 mi
Gastroenterology
NPI 1407818180
900 BRYAN ST STE 7
Huntingdon, PA 16652
(814) 644-1141
✔ PECOS✔ Accepts Medicare23 mi
Emergency Medicine
NPI 1134626724
1225 WARM SPRINGS AVE
Huntingdon, PA 16652
(814) 643-8408
✔ PECOS✔ Accepts Medicare23 mi
Internal Medicine
NPI 1972818540
1225 WARM SPRINGS AVE
Huntingdon, PA 16652
(814) 643-2290
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1902148992
1225 WARM SPRINGS AVE
Huntingdon, PA 16652
(814) 643-8556
✔ PECOS✔ Accepts Medicare23 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982628012
1225 WARM SPRINGS AVE
Huntingdon, PA 16652
(814) 643-8539
23 mi
See all 45 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jc Blair Memorial Hospital's NPI number?

The NPI number for Jc Blair Memorial Hospital is 1093567182. It was assigned to this organization in the NPPES registry on April 3, 2024. The provider is doing business as Penn Highlands State College, A Campus of Penn Highlands Huntingdon.

Where is Jc Blair Memorial Hospital located?

Jc Blair Memorial Hospital is located at 239 Colonnade Blvd, State College, PA 16803. The listed phone number is (814) 375-3770.

What is Jc Blair Memorial Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jc Blair Memorial Hospital enrolled in Medicare?

Yes. Jc Blair Memorial Hospital is registered in the Medicare PECOS enrollment system.

When is Jc Blair Memorial Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jc Blair Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 16 Medicare specialties reassign their Medicare billing to Jc Blair Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Family Practice (5) and Certified Registered Nurse Anesthetist (CRNA) (4). Of these, 5 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jc Blair Memorial Hospital was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.