NPIMap

Organization Active NPI

Windber Hospital, Inc.

Doing business as Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
National Provider Identifier
1275620536
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
234901 Issued in PA
Legal business name
WINDBER HOSPITAL, INC.
Doing business as
Windber Medical Center
Practice address
600 Somerset Ave
Windber, PA 15963-1331
Phone
(814) 467-3000
Fax
(814) 467-3407
NPI assigned
Oct 6, 2006
Last updated
Mar 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Mr. Thomas Kurtz
Title
Ceo
Phone
(814) 467-3702

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 234901 PA
General Acute Care Hospital 282N00000X 234901 PA Primary
Certified Registered Nurse Anesthetist 367500000X NU

Addresses

Primary practice location

600 Somerset Ave
Windber, PA 15963-1331

Mailing address

600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3000

Other identifiers 4

IdentifierTypeStateIssuer
1007703740005MedicaidPA
1007703740004MedicaidPA
0109OtherPAHIGHMARK BLUE CROSS PROV
1007703740024MedicaidPA

Other names 1

  • Windber Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050411000395 PA Part B Supplier - Hospital Department(S) 9234187576 Receives reassigned benefits from 52 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Windber, PA
O20080402000836 PA Part A Provider - Hospital 9234187576 Practice locations: Johnstown, PA; Windber, PA; Portage, PA; Hollsopple, PA; Alum Bank, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275620536. Details of each certification follow.

Hospital certification: CCN 390112

Legal name
WINDBER HOSPITAL INC
Doing business as
CHAN SOON-SHIONG MEDICAL CENTER AT WINDBER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 15, 1973
Last certification
Oct 4, 2024
Beds
54 (48 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 29, 1973 in PA
Enrollment address
600 Somerset Ave
Windber, PA 15963-1331
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Chan Soon- Shiong Medical Center at WindberCCN 390112 · All quality measures
Overall star rating
2 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

Locations (25 of 948)

3841 Piper St
Ste T10057
Anchorage, AK 99508

4612 King St
Alexandria, ALEXANDRIA 22302

1449 9TH Ave
Altoona, ALTOONA 16602

4545 E Chandler Blvd
Ste 308
Phoenix, AZ 85048
Phone (480) 626-2024

600 E Pitt St
Nulton Diagnostictreatment CT
Bedford, BEDFORD 15522

23801 Calabasas Rd
Calabasas, CA 91302

23801 Calabasas Rd
Ste 1021
Calabasas, CA 91302

2340 E 8th St
Ste J
National City, CA 91950
Phone (619) 479-0320

755 Norland Ave
Ste 101
Chambersburg, CHAMBERSBU 17201

380 Allen Bradley Dr
Mayfield HTS
Cleveland, CLEVELAND 44124

2121 E Harmony Rd
Unit 270
Fort Collins, CO 80528
Phone (970) 221-1993

9399 Crown Crest Blvd
Ste 200
Parker, CO 80138
Phone (303) 269-4410

85 Seymour St
Ste 705
Hartford, CT 06106
Phone (608) 972-4341

30 Myano Ln
Ste 26
Stamford, CT 06902
Phone (203) 708-9299

2021 K St NW
Ste 701
Washington, DC 20006
Phone (202) 296-2595

2175 K St NW
Washington, DC 20037

3800 Reservoir Rd NW
#4
Washington, DC 20007
Phone (202) 444-1175

3800 Reservoir Rd NW
#7
Washington, DC 20007
Phone (202) 444-4972

3800 Reservoir Rd NW
Fl 5
Washington, DC 20007
Phone (202) 444-0086

9000 New Delhi Pl
Washington, DC 20521

1140 Kane Concourse
Bay Harbor Islands, FL 33154
Phone (305) 861-8266

600 S Dixie Hwy
Ste 210
Boca Raton, FL 33432
Phone (561) 226-4950

1708 Cape Coral Pkwy W
Ste 1
Cape Coral, FL 33914
Phone (239) 540-1495

550 Biltmore Way
Coral Gables, FL 33134
Phone (305) 676-8929

13205 US Highway 1
Ste 105
Juno Beach, FL 33408
Phone (561) 691-0100

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Matthew L Bouch Individual Corporate DirectorBoard Member Jan 1, 2016
Chan Soon-Shiong Nanthealth Foundation Organization, Culver City, CA Corporation, Non-profit Other Jan 1, 2016
Charles N Kenworthy Individual Corporate DirectorBoard Member Jan 1, 2016
Thomas Kurtz Individual Corporate OfficerPresident & Ceo Oct 1, 2014
Corporate DirectorPresident & Ceo Oct 1, 2014
W-2 Managing EmployeePresident & Ceo Oct 1, 2014
Eleanor L Ramirez Individual Corporate DirectorBoard Member Jan 1, 2016
Trudi Brown Individual Corporate OfficerBoard Member Mar 9, 2023
Corporate DirectorBoard Member Mar 9, 2023
Patrick Soon-Shiong Individual Corporate DirectorBoard Member Jan 1, 2016
Chan Soon-Shiong Institute of Molecular Medicine LLC Organization, Culver City, CA LLC, Non-profit Other Jan 1, 2016
Richard Sukenik Individual Corporate OfficerCfo Nov 27, 2012
James Banaag Individual Corporate DirectorBoard Member Mar 9, 2023
David C Sachs Individual Corporate DirectorBoard Member Jan 1, 2016
Jamie R Brock Individual Corporate OfficerVice President of Human Resource Sep 1, 2014
Robert Morse Individual Corporate DirectorBoard Member Mar 9, 2023

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Regional Hospice at WindberWindber, PA, CCN 391541 Hospice Operational/Managerial Control (100%) Jul 1, 1990

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 7,390

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 7,390

Affiliated clinicians 196

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

View all 196

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1275620536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SOMERSET AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631331",
            "telephone_number": "814-467-3000",
            "fax_number": "814-467-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SOMERSET AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631331",
            "telephone_number": "814-467-3000",
            "fax_number": "814-467-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDBER HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-467-3702",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "234901",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "234901",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007703740005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007703740004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS PROV",
            "identifier": "0109",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007703740024",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windber Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windber, PA

Sources for this page

Verify at the official NPI Registry.