Organization Active NPI

Upmc Altoona

Doing business as Altoona Mental Health

  • Psychiatric Hospital
  • Altoona, PA
National Provider Identifier
1760567283
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
UPMC ALTOONA
Doing business as
Altoona Mental Health
Practice address
620 Howard Ave.
Altoona, PA 16601-4899
Phone
(814) 889-2223
Fax
(814) 889-7808
NPI assigned
Oct 25, 2006
Last updated
Jul 11, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ALTOONA REGIONAL HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Mr. Jerry Edmund Murray
Title
Ceo
Phone
(814) 889-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X PA Primary

Addresses

Primary practice location

620 Howard Ave.
Altoona, PA 16601-4899

Mailing address

620 Howard Ave.
Altoona, PA 16601-4899
Phone (814) 889-2223

Other names 1

  • Altoona Mental Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001006 PA Part B Supplier - Clinic/Group Practice 8426962465 Receives reassigned benefits from 17 practitioners
1 other NPI on this enrollment
Practice locations: Altoona, PA

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Altoona Emer Phys

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Encompass Health Rehabilitation Hospital of AltoonaAltoona, PA, CCN 393040 Hospital 5% Or Greater Indirect Ownership Interest (15%) Nov 1, 2009

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 64

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1760567283",
    "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": "166014899",
            "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": "620 HOWARD AVE.",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014899",
            "telephone_number": "814-889-2223",
            "fax_number": "814-889-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC ALTOONA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTOONA REGIONAL HEALTH SYSTEM",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-889-2223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altoona Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.