Organization Active NPI

Saint Vincent Outpatient Center at Union City

  • General Acute Care Hospital
  • Union City, PA
National Provider Identifier
1790106656
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SAINT VINCENT OUTPATIENT CENTER AT UNION CITY
Practice address
130 N Main St
Union City, PA 16438-1068
Phone
(814) 438-1000
NPI assigned
Dec 19, 2013
Last updated
Dec 19, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT VINCENT HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Mr. Scott A Whalen, PHD, FACHE
Title
President & Ceo
Phone
(814) 452-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

130 N Main St
Union City, PA 16438-1068

Mailing address

130 N Main St
Union City, PA 16438-1068
Phone (814) 438-1000

Other identifiers 2

IdentifierTypeStateIssuer
1001625200025MedicaidPA
0072OtherPAHIGHMARK FACILITY NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790106656. Details of each certification follow.

Hospital certification: CCN 390040

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
UNION CITY MEM HOSP
Certification status
Terminated Voluntary: merger or closure, Dec 1, 2001
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 30, 1993
Beds
35 (27 certified)
Ownership / control type
Other
Facility address
130 N Main St
Union City, PA 16438

National Provider Directory

National Provider Directory
Tax ID family
Saint Vincent Health Ce11 organizations share this tax ID, including this one
Part of
Saint Vincent Health Ce

Other organizations with this tax ID 10

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

Locations

130 N Main St
Union City, PA 16438
Phone (814) 438-1000

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1790106656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N MAIN ST",
            "city": "UNION CITY",
            "state": "PA",
            "postal_code": "164381068",
            "telephone_number": "814-438-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N MAIN ST",
            "city": "UNION CITY",
            "state": "PA",
            "postal_code": "164381068",
            "telephone_number": "814-438-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT VINCENT OUTPATIENT CENTER AT UNION CITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT VINCENT HEALTH CENTER",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "814-452-5111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD, FACHE"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001625200025",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK FACILITY NUMBER",
            "identifier": "0072",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, PA

Sources for this page

Verify at the official NPI Registry.