NPIMap

Organization Active NPI

Upmc Wellsboro

Doing business as UPMC Wellsboro Hospital ALS

  • Ambulance
  • Wellsboro, PA
National Provider Identifier
1457623316
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
04224 Issued in PA
Legal business name
UPMC WELLSBORO
Doing business as
UPMC Wellsboro Hospital ALS
Practice address
32-36 Central Ave
Wellsboro, PA 16901-1840
Phone
(570) 723-0100
NPI assigned
Feb 7, 2012
Last updated
Jan 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
UPMC WELLSBOROAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Janie M Hilfiger
Title
President and Ceo
Phone
(570) 724-1631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 04224 PA Primary

Addresses

Primary practice location

32-36 Central Ave
Wellsboro, PA 16901-1840

Mailing address

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

Other names 1

  • UPMC Wellsboro Hospital ALS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150819007035 PA Part B Supplier - Ambulance Service Supplier 5294710414 Practice locations: Wellsboro, PA

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Upmc Wellsboro8 organizations share this tax ID, including this one
Part of
Upmc Wellsboro

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1457623316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRANT ST., 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": "32-36 CENTRAL AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011840",
            "telephone_number": "570-723-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC WELLSBORO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPMC WELLSBORO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "HILFIGER",
        "authorized_official_first_name": "JANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "570-724-1631"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPMC Wellsboro Hospital ALS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.