NPIMap

Organization Active NPI

Upmc Memorial

  • Ambulatory Surgical Clinic/Center
  • York, PA
National Provider Identifier
1235664186
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UPMC MEMORIAL
Practice address
1701 Innovation Dr
York, PA 17408-8815
Phone
(717) 843-8623
NPI assigned
Apr 28, 2017
Last updated
Jun 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Patrice A Taleff
Title
VP, Revenue Cycle
Phone
(717) 230-3799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

1701 Innovation Dr
York, PA 17408-8815

Mailing address

PO Box 2353
Harrisburg, PA 17105-2353

Other identifiers 1

IdentifierTypeStateIssuer
103360870MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170706000245 PA Part A Provider - Hospital 7416226543 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: York, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235664186. Details of each certification follow.

Hospital certification: CCN 390101

Legal name
UPMC MEMORIAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 5, 2025
Beds
104 (80 certified)
Ownership / control type
Federal
Most recent change of ownership
Jul 1, 2017 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 2017 in PA
Enrollment address
1701 Innovation Dr
York, PA 17408-8815
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Upmc MemorialCCN 390101 · All quality measures
Overall star rating
4 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
Upmc Memorial5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1750 5th Ave
Fl 3
York, PA 17403
Phone (717) 843-7613

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Upmc Pinnacle Organization, Harrsiburg, PA Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2017 100%
Karen E Wastler Individual Corporate OfficerNonvote, Hospital Interim President Oct 9, 2025
Emmaneul B John Individual Corporate DirectorBoard Member Jan 27, 2023
Jeffrey Rehmeyer Individual Corporate DirectorBoard Member Jan 26, 2023
Gregory Mitstifer Individual Corporate OfficerTreasurer Mar 31, 2023
W-2 Managing EmployeeCfo Mar 31, 2023
Timothy Warady Individual Corporate DirectorBoard Member Mar 26, 2021
George F Valenta Individual Corporate DirectorBoard Member May 31, 2024
Macgregor Brillhart Individual Corporate DirectorBoard Member Mar 26, 2021
David P Gibbons Individual Corporate DirectorBoard Member Sep 22, 2023
Josette Myers Individual Corporate DirectorBoard Member Mar 22, 2023
Upmc Organization, Pittsburgh, PA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2017 100%
Mark a Illfelder Individual Corporate DirectorBoard Member Jan 1, 2018

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 620

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

View all 620

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1235664186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2353",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171052353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 INNOVATION DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815",
            "telephone_number": "717-843-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC MEMORIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "TALEFF",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP, REVENUE CYCLE",
        "authorized_official_telephone_number": "717-230-3799"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103360870",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.