NPIMap

Organization Active NPI

Upmc Williamsport

  • General Acute Care Hospital
  • Williamsport, PA
National Provider Identifier
1609801976
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
234601 Issued in PA
Legal business name
UPMC WILLIAMSPORT
Practice address
700 High St
Williamsport, PA 17701-3198
Phone
(570) 321-1000
Fax
(570) 326-8601
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Mr. Roger Yost
Title
Cfo
Phone
(570) 321-3175

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 234601 PA
Non-Surgical Family Planning Clinic/Center 261QF0050X 234601 PA
Primary Care Clinic/Center 261QP2300X 234601 PA
General Acute Care Hospital 282N00000X 234601 PA Primary
Land Ambulance 3416L0300X 234601 PA

Addresses

Primary practice location

700 High St
Williamsport, PA 17701-3198

Mailing address

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

Other practice location 1

24 Cree Dr
Lock Haven, PA 17745-2639
Phone (570) 893-5000

Other identifiers 11

IdentifierTypeStateIssuer
1017347OtherPAKEYSTONE MERCY HEALTH PIN
29796OtherPAGEISINGER HEALTH PLAN PIN
301400OtherPABLACK LUNG PROGRAM PIN
390045OtherPAHEALTH ASSURANCE PIN
390045OtherPAHEALTH AMERICA PIN
20007166OtherPAAMERIHEALTH HMO AMER PIN
074006OtherPAFIRST PRIORITY HEALTH PIN
390045OtherPAAETNA PIN
000109OtherPAAMERIHEALTH ADMINIST PIN
1007548350019MedicaidPA
390045OtherPABLUE CROSS PIN

Other names 1

  • Williamsport Regional Medical Center Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL uconnect.upmc.com Other UPMC
Direct Messaging Address UPMCHospitals@upmcdirect.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071211000513 PA Part A Provider - Hospital 3678473550 6 other NPIs on this enrollment
Practice locations: Williamsport, PA; Muncy, PA; Montoursville, PA; Lock Haven, PA; Lewisburg, PA

Hospital certification: CCN 390045

Legal name
UPMC WILLIAMSPORT
Doing business as
WILLIAMSPORT REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 14, 2026
Beds
255 (222 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 30, 1873 in PA
Enrollment address
700 High St
Hospital Inpatient & Outpatient Services
Williamsport, PA 17701-3100
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Upmc WilliamsportCCN 390045
Overall star rating
3 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
Tax ID family
The Willimsport Hosp CR9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

44045 Margarita Rd
Ste 103
Temecula, CA 92592
Phone (949) 412-0030

Ownership & related parties

All disclosed owners & managing parties 29

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

NameRoleSinceShare
Jamie L Adam Individual Corporate DirectorBoard Member Jan 1, 2023
John Dennis Murray Individual Corporate DirectorBoard Member Jan 1, 2023
Patrick Wilson Individual Corporate DirectorBoard Member Jun 9, 2009
Susan Ann Branton Individual Corporate DirectorBoard Member Sep 1, 2016
Donald M Yealy Individual Corporate DirectorBoard Member Jan 1, 2023
Upmc Susquehanna Organization, Williamsport, PA Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Mar 24, 2008 100%
Other Mar 24, 2008 100%
Patricia Jackson Gehris Individual Corporate DirectorAssistant Secretary Feb 21, 2025
Davie J Gilmour Individual Corporate DirectorChair Sep 1, 2016
Tamra Minnier Individual Corporate DirectorBoard Member Aug 15, 2023
Jill a Burns Individual Corporate DirectorBoard Member Jan 1, 2023
Daniel a Klingerman Individual Corporate DirectorBoard Member Sep 1, 2016
Patrick Larsen Individual Corporate OfficerBoard Member Non Voting Apr 11, 2025
Josh Costa Individual Corporate DirectorBoard Member, Non-Voting Jan 1, 2023
Teresa Ann Jacobs Individual Corporate DirectorSecretary Sep 1, 2016
Keith Kuzio Individual Corporate DirectorBoard Member Jan 1, 2023
David P Gibbons Individual Corporate DirectorBoard Member Jan 1, 2023
Alfredo Blas Individual Corporate DirectorBoard Member Jun 30, 2022
Michael C Gerst Individual Corporate DirectorBoard Member Apr 28, 2023
Joel Philip Yuhas Individual Corporate OfficerBoard Member Apr 28, 2023
Ronald Enrico Disimone Individual Corporate DirectorBoard Member Sep 1, 2016
Alana Huck Individual Corporate DirectorBoard Member Jan 1, 2023
Roger C Yost Individual Corporate OfficerCfo/Assistant Treasurer Aug 15, 2022
W-2 Managing EmployeeCfo Aug 15, 2022
Elizabeth Ritter Individual Corporate DirectorBoard Member Apr 11, 2025
Upmc Organization, Pittsburgh, PA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2016 100%
Other Oct 1, 2016
Glenn B Poirier Individual Corporate DirectorBoard Member Jan 1, 2023
Kim Zynn Individual Corporate DirectorBoard Member Jan 1, 2023
Eileen Simmons Individual Corporate DirectorBoard Member Jan 1, 2023
Ann S Pepperman Individual Corporate DirectorVice Chair Sep 1, 2016
Philip H Johnson Individual Corporate DirectorTreasurer Sep 1, 2016

Owners & managing parties with NPI records 7

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
Williamsport Regional Medical CenterWilliamsport, PA, CCN 39T045 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 63

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 63

Practitioners & affiliated clinicians

Practitioners 81

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 81

Affiliated clinicians 733

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

View all 733

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1609801976",
    "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": "700 HIGH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013198",
            "telephone_number": "570-321-1000",
            "fax_number": "570-326-8601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Cree Dr",
            "address_purpose": "LOCATION",
            "city": "Lock Haven",
            "state": "PA",
            "postal_code": "177452639",
            "country_code": "US",
            "telephone_number": "570-893-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPMC WILLIAMSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "570-321-3175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "234601",
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "PA",
            "license": "234601",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "234601",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "234601",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "234601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH PIN",
            "identifier": "1017347",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN PIN",
            "identifier": "29796",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG PROGRAM PIN",
            "identifier": "301400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE PIN",
            "identifier": "390045",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA PIN",
            "identifier": "390045",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO AMER PIN",
            "identifier": "20007166",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH PIN",
            "identifier": "074006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "390045",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINIST PIN",
            "identifier": "000109",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007548350019",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "390045",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "uconnect.upmc.com",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.552.100.2.1",
            "affiliationName": "UPMC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCHospitals@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure direct address for this UPMC Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "700 High St",
            "city": "Williamsport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177013198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Williamsport Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Williamsport Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.