Upmc Altoona
Organization Active NPI General Acute Care Hospital · Williamsburg, PA
NPI 1437100765 · NPPES record last updated Sep 5, 2013
Key facts
- NPI
- 1437100765
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 012801 (PA)
- Legal business name
- UPMC ALTOONA
- Practice address
- 306 Plum St
Williamsburg, PA 16693-1116 - Phone
- (814) 832-3405
- Fax
- (814) 832-3811
- NPI assigned
- May 12, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- UPMC ALTOONA
Authorized official
- Name
- Mr. Jerry Murray
- Title
- Ceo
- Phone
- (814) 889-2223
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 6
Practitioners 169
-
Hannah M Clevenger, PA-C
-
Bridgit Patterson, PA-C
-
Laura J Siems, MD
-
Terry S Ruhl, MD
-
Jonathan Michael Ashley, M.D.
-
Brittany E Barker, D.O.
-
Meena Gella, D.O.
-
Joseph L Hines, M.D.
-
Michael L Humphrey, D.O.
-
Ryan Anthony Lani, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Encompass Health Rehabilitation Hospital of Altoona |
Hospital | 5% Or Greater Indirect Ownership Interest (15%) | Nov 1, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040406001118 | PA | Part B Supplier - Clinic/Group Practice | 8426962465 |
Receives reassigned benefits from 30 practitioners Practice locations: Williamsburg, PA |
National Provider Directory
- Part of
- Altoona Hospital Oncolo
Locations
501 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011
306 Plum St
Williamsburg, PA 16693
Phone (814) 832-3405
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 012801 | PA | Yes |
Addresses
Primary practice location
306 Plum St
Williamsburg, PA 16693-1116
Mailing address
306 Plum St
Williamsburg, PA 16693-1116
Phone (814) 832-3405
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120138 | Other | PA | HIGHMARK BC/BS |
| 76160 | Other | PA | UNISON HEALTH PLAN |
| 1-54673328 | Other | PA | GEISINGER HEALTH PLAN |
| 719342 | Other | PA | RAILROAD MEDICARE |
| V0P17 | Other | PA | UPMC HEALTH PLAN |
| 1007278290092 | Medicaid | PA | |
| 1014434 | Other | PA | GATEWAY HEALTH PLAN |
| 111354 | Other | PA | UNISON HEALTH PLAN OB |
Other names
- Williamsburg Family Practice
Other providers in Williamsburg, PA
- Charles D Phelps
- Teresa Mae Shultz
- Staffing & Consulting Group, Inc.
- Michelle Ann Stewart
- John Taylor Symons
- White Deer Run, Inc
- White Deer Run, LLC
- Williamsburg Ambulance Club
- Williamsburg Community School District
- Williamsburg Pharmacy Inc
All providers in Williamsburg, PA · General Acute Care Hospital in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.