OrganizationActive
Broad Top Area Medical Center Inc
NPI 1063514453 · Federally Qualified Health Center (FQHC) · Broad Top, PA
Provider details
- NPI number
- 1063514453
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Roth, Ceo(814) 635-2916
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4133 Medical Center Drive, Box 127
Broad Top, PA 16621-0127
Phone: (814) 635-2916
Fax: (814) 635-2918
Approximate (ZIP-level) locationGet directions
Mailing address
4133 Medical Center Drive, Box 127
Broad Top, PA 16621-0127
Registry dates
- Enumerated
- 2006-09-05
- Last updated
- 2021-04-22
- Certified
- 2021-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.