1215770284 NPI number — HYNDMAN AREA HEALTH CENTER, INC

Table of content: PROF. BAKR MOHAMED NOUR MD (NPI 1629196886)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215770284 NPI number — HYNDMAN AREA HEALTH CENTER, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HYNDMAN AREA HEALTH CENTER, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215770284
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/17/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 CORPORATE DR STE 107
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEDFORD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15522-7941
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
227 FRANKLIN ST STE 304
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JOHNSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15901-1916
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-634-4968
Provider Business Practice Location Address Fax Number:
814-254-4020
Provider Enumeration Date:
06/17/2024

Additional Information

Authorized Official

Authorized Official Last Name:
STRATTA
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO, CMO
Authorized Official Telephone Number:
814-709-9801

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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