NPIMap

Organization Active NPI

Upmc Kane

Doing business as UPMC Kane Primary & Specialty Care - Bradford

  • Rural Health Clinic/Center
  • Bradford, PA
National Provider Identifier
1306425244
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
UPMC KANE
Doing business as
UPMC Kane Primary & Specialty Care - Bradford
Practice address
24 W Washington St
Bradford, PA 16701-1280
Phone
(814) 368-1000
Fax
(814) 368-1008
NPI assigned
Apr 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Bradley Dinger
Title
Cfo
Phone
(814) 877-3739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

24 W Washington St
Bradford, PA 16701-1280

Mailing address

600 Grant Street, US Steel Tower, 59TH Floor
C/O Renee Johnson
Pittsburgh, PA 15219-2740
Phone (412) 623-6303

Other names 1

  • UPMC Kane Primary & Specialty Care - Bradford Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Hosp Lab4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

24 W Washington St
Bradford, PA 16701
Phone (814) 362-6911

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1306425244",
    "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": "412-623-6303",
            "fax_number": "412-623-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W WASHINGTON ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011280",
            "telephone_number": "814-368-1000",
            "fax_number": "814-368-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC KANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "DINGER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-877-3739"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPMC Kane Primary & Specialty Care - Bradford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.