GLENDALE AREA MEDICAL CENTER
NPI 1255300596
Clinic/Center - Federally Qualified Health Center (FQHC) in Coalport, PA

Active since March 17, 2006CLIA 39D0184613 · Waiver
850 MAIN STREET, COALPORT, PA 16627(814) 672-5141(814) 672-5461 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2024, Jul 17, 2019, Mar 1, 2016 (3 updates tracked since 2016).

About Glendale Area Medical Center NPPES

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

GLENDALE AREA MEDICAL CENTER (NPI 1255300596) is a healthcare organization registered as a federally qualified health center (fqhc) in Coalport, Pennsylvania and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Scott Vinglas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255300596
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGLENDALE AREA MEDICAL ASSOCIATION, INC
Location Address850 MAIN STREETCoalport, PA 16627-0375
Mailing Address850 Main Street, P.o. Box 375Coalport, PA 16627-0375 · (814) 672-5141 · Fax (814) 672-5461
Fax(814) 672-5461
Organization SubpartNo
Authorized OfficialScott VinglasCeo · (814) 672-5141
Enumeration DateMarch 17, 2006
Last NPPES UpdateApril 2, 20243 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1255300596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
850 MAIN STREET, Coalport, PA 16627

Other Names 1

Doing Business AsGlendale Area Medical Center

Other Identifiers 2

OtherCA 1965PA · Railroad Medicare
Other391822PA · Medicare

Accepted Insurance

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)

Glendale Area Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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 IDO20050418000539Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Glendale Area Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1811972995
850 MAIN STREET
Coalport, PA 16627
(814) 672-5141
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1194730929
850 MAIN STREET PO BOX 375
Coalport, PA 16627
(814) 672-5141
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1578502381
903 OLD SCALP AVE APT 275
Johnstown, PA 15904
(814) 255-9100
✔ PECOS✔ Accepts Medicare36 mi

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

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 39D0184613

Glendale Area Medical Center · Coalport, PA
Active · expires Apr 25, 2027
CLIA Number39D0184613
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorDr. Sohail Shariff
Laboratory Phone(814) 672-5141
Laboratory LocationGlendale Area Medical Center850 Main St PO Box 375, Coalport, PA 16627
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Glendale Area Medical Association, Inc's NPI number?

The NPI number for Glendale Area Medical Association, Inc is 1255300596. It was assigned to this organization in the NPPES registry on March 17, 2006. The provider is doing business as Glendale Area Medical Center.

Where is Glendale Area Medical Association, Inc located?

Glendale Area Medical Association, Inc is located at 850 Main Street, Coalport, PA 16627. The listed phone number is (814) 672-5141.

What is Glendale Area Medical Association, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Glendale Area Medical Association, Inc enrolled in Medicare?

Yes. Glendale Area Medical Association, Inc is registered in the Medicare PECOS enrollment system.

When is Glendale Area Medical Association, Inc'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 February 28, 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 Glendale Area Medical Association, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Glendale Area Medical Association, Inc, in Family Practice and Podiatry. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Glendale Area Medical Association, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0184613) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Glendale Area Medical Association, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and UnitedHealthcare list Glendale Area Medical Association, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glendale Area Medical Association, Inc was last updated on April 2, 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.