Active NPI
Upmc Altoona
Doing business as Altoona Family Physicians Family Centered Obstetrics & Gynecology
- General Acute Care Hospital
- Altoona, PA
National Provider Identifier
1417382136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 012801
- Legal business name
- UPMC ALTOONA
- Doing business as
- Altoona Family Physicians Family Centered Obstetrics & Gynecology
- Practice address
- 501 Howard Ave
Suite A107
Altoona, PA 16601-4810 - Phone
- (814) 889-2626
- NPI assigned
- Sep 12, 2013
- Last updated
- Sep 12, 2013
- Organization subpart
- Yes
- Parent organization
- UPMC ALTOONA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jerry Murray
- Title
- President/Chief Executive Office
- Phone
- (814) 889-2223
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 012801 | PA | Primary |
Addresses
Primary practice location
501 Howard Ave
Suite A107
Altoona, PA 16601-4810
Mailing address
620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-2223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007278290104 | Medicaid | PA | |
| 0062 | Other | PA | BLUE CROSS |
Other names 1
- Altoona Family Physicians Family Centered Obstetrics & Gynecology
National Provider Directory
National Provider Directory- Part of
- Altoona Emergency Physi
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378944000000",
"number": "1417382136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 HOWARD AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166014804",
"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": "501 HOWARD AVE",
"address_2": "SUITE A107",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166014810",
"telephone_number": "814-889-2626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC ALTOONA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UPMC ALTOONA",
"enumeration_date": "2013-09-12",
"last_updated": "2013-09-12",
"status": "A",
"authorized_official_last_name": "MURRAY",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "PRESIDENT/CHIEF EXECUTIVE OFFICE",
"authorized_official_telephone_number": "814-889-2223",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "PA",
"license": "012801",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007278290104",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0062",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Altoona Family Physicians Family Centered Obstetrics & Gynecology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.