NPIMap

Organization Active NPI

Upmc Altoona

  • Ambulatory Surgical Clinic/Center
  • Altoona, PA
National Provider Identifier
1114926953
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UPMC ALTOONA
Practice address
620 Howard Ave.
Altoona, PA 16601-4899
Phone
(814) 889-2223
Fax
(814) 889-7808
NPI assigned
Jul 14, 2005
Last updated
Oct 21, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ALTOONA REGIONAL HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monica Klatt
Title
Cfo
Phone
(814) 889-2223

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Ambulatory Surgical Clinic/Center 261QA1903X PA Primary
Emergency Care Clinic/Center 261QE0002X PA
General Acute Care Hospital 282N00000X PA

Addresses

Primary practice location

620 Howard Ave.
Altoona, PA 16601-4899

Mailing address

600 Grant Street, US Steel Tower, 59TH Floor
C/O Renee Johnson
Pittsburgh, PA 15219-2740
Phone (814) 889-2223

Other identifiers 2

IdentifierTypeStateIssuer
1007278290077MedicaidPA
1007278290084MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMCHospitals@upmcdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050620000603 PA Part A Provider - Hospital 8426962465 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Altoona, PA; Williamsburg, PA; Johnstown, PA; Hollidaysburg, PA; Ebensburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114926953. Details of each certification follow.

Hospital certification: CCN 390073

Legal name
UPMC ALTOONA
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 18, 2024
Beds
398 (349 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 26, 1883 in PA
Enrollment address
620 Howard Ave
Altoona, PA 16601-4804
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Upmc AltoonaCCN 390073 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Altoona Emer Phys18 organizations share this tax ID, including this one
Part of
Altoona Emer Phys

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

501 Howard Ave
Bldg F
Altoona, PA 16601
Phone (814) 889-2012

800 Howard Ave
Ste 1
Altoona, PA 16601
Phone (814) 889-2708

800 S Logan Blvd
Ste 3100
Hollidaysburg, PA 16648
Phone (814) 889-4300

9498 William Penn Hwy
Huntingdon, PA 16652
Phone (814) 643-0461

306 Plum St
Williamsburg, PA 16693
Phone (814) 832-3405

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian Grabill Individual Corporate DirectorBoard Member Jul 1, 2021
Philip L Freeman Individual Corporate DirectorBoard Member Jul 1, 2021
Donald M Yealy Individual Corporate DirectorBoard Member Jul 1, 2021
Matthew Evans Newlin Individual Corporate DirectorBoard Member Dec 17, 2020
Mathew Stuckey Individual Corporate DirectorBoard Member Dec 17, 2020
Robert Montler Individual Corporate DirectorVice Chair Jul 1, 2013
Michael Corso Individual W-2 Managing EmployeeHospital President Aug 1, 2024
Bernard L Creppage Individual Corporate OfficerSecretary Jul 1, 2021
Corporate DirectorBoard Member Jul 1, 2021
Monica Klatt Individual Corporate OfficerCfo/ Treasurer Sep 29, 2019
W-2 Managing EmployeeCfo/Treasurer Sep 29, 2019
Alissa Laird Individual Corporate OfficerAssistant Secretary Mar 1, 2024
David P Gibbons Individual Corporate DirectorBoard Member Jan 1, 2024
Andrew Ritchie Individual Corporate DirectorBoard Member Jul 1, 2025
David G Baer Individual Corporate DirectorBoard Member Jun 15, 2017
John Blackburn Individual Corporate DirectorVice Chairperson Dec 1, 2014
James Hogg Vreeland Individual Corporate DirectorBoard Member Jul 1, 2021
Ann Benzel Individual Corporate DirectorBoard Member Jul 1, 2013
Upmc Organization, Pittsburgh, PA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2013 100%
Karen Pfeffer Individual Corporate DirectorBoard Member Jul 1, 2013
James Drenning Individual Corporate DirectorBoard Member Dec 17, 2020

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 424

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 424

Affiliated clinicians 810

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 810

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1114926953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRANT STREET, US STEEL TOWER, 59TH FLOOR",
            "address_2": "C/O RENEE JOHNSON",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152192740",
            "telephone_number": "814-889-2223",
            "fax_number": "814-889-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE.",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014899",
            "telephone_number": "814-889-2223",
            "fax_number": "814-889-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC ALTOONA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTOONA REGIONAL HEALTH SYSTEM",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "KLATT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-889-2223"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007278290077",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007278290084",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCHospitals@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure direct address for this UPMC Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "620 Howard Ave.",
            "city": "Altoona",
            "state": "PA",
            "country_code": "US",
            "postal_code": "166014899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.