| Organization Name: | JC BLAIR MEMORIAL HOSPITAL |
| NPI Number: | 1376921668 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH SHUGARTS (CFO) |
| Mailing Address: | 478 Seminary Street Suite A Cassville |
| State: | PA US |
| Postal Code: | 16623 |
| Phone Number: | 8144489226 |
| Fax Number: | 8144482068 |
| NPI Enumeration Date: | 05/07/2015 |
| NPI Last Update Date: | 05/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 101101 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |