NPIMap

Organization Active NPI

Upmc Bedford Memorial

  • Ambulatory Surgical Clinic/Center
  • Everett, PA
National Provider Identifier
1942345467
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
650501 Issued in PA
Legal business name
UPMC BEDFORD MEMORIAL
Practice address
10455 Lincoln Hwy
Everett, PA 15537-7046
Phone
(814) 623-3541
Fax
(814) 623-3535
NPI assigned
Feb 21, 2007
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Monica Klatt
Title
Cfo
Phone
(814) 889-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 650501 PA Primary

Addresses

Primary practice location

10455 Lincoln Hwy
Everett, PA 15537-7046

Mailing address

10455 Lincoln Hwy
Everett, PA 15537-7046
Phone (814) 623-3541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080211000606 PA Part A Provider - Hospital 6103811971 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Everett, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942345467. Details of each certification follow.

Hospital certification: CCN 390117

Legal name
UPMC BEDFORD MEMORIAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 2, 2021
Beds
49 (45 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 1, 1952 in PA
Enrollment address
10455 Lincoln Highway
Everett, PA 15537-7046
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Upmc Bedford MemorialCCN 390117 · All quality measures
Overall star rating
4 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
Nuclear Med Mem Hosp Be5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

249 Hospital Dr
#1
Everett, PA 15537
Phone (814) 623-1166

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Brian Grabill Individual Corporate Director Jul 1, 2021
Philip L Freeman Individual Corporate Director Jul 1, 2021
Donald M Yealy Individual Corporate Director Jul 1, 2021
Matthew Evans Newlin Individual Corporate Director Dec 17, 2020
Mathew Stuckey Individual Corporate Director Dec 17, 2020
Robert Montler Individual Corporate DirectorChairperson Jul 1, 2013
Michael Corso Individual Corporate OfficerHospital President Aug 1, 2024
Bernard L Creppage Individual Corporate DirectorSecretary Jul 1, 2021
Monica Klatt Individual Corporate OfficerCfo Sep 30, 2019
W-2 Managing Employee Sep 30, 2019
Alissa Laird Individual Corporate OfficerAssistant Secretary Mar 1, 2024
David P Gibbons Individual Corporate DirectorBoard Member Jan 1, 2024
Andrew Ritchie Individual Corporate DirectorBoard Member Jul 1, 2025
David G Baer Individual Corporate Director Sep 23, 1991
John Blackburn Individual Corporate Officer Sep 22, 2003
Corporate DirectorChairperson Sep 22, 2003
James Hogg Vreeland Individual Corporate Director Jul 1, 2021
Ann Benzel Individual Corporate DirectorSecretary Jul 1, 2013
Upmc Organization, Pittsburgh, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 1998 100%
Karen Pfeffer Individual Corporate Director Jul 1, 2013
James Drenning Individual Corporate Director Dec 17, 2020

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 123

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 123

Affiliated clinicians 255

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

View all 255

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1942345467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 LINCOLN HWY",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377046",
            "telephone_number": "814-623-3541",
            "fax_number": "814-623-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 LINCOLN HWY",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377046",
            "telephone_number": "814-623-3541",
            "fax_number": "814-623-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC BEDFORD MEMORIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "KLATT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-889-2223"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "650501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, PA

Sources for this page

Verify at the official NPI Registry.