Upmc Altoona
Organization Active NPI General Acute Care Hospital · Altoona, PA
NPI 1942385463 · NPPES record last updated Jul 11, 2013
Key facts
- NPI
- 1942385463
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 012801 (PA)
- Legal business name
- UPMC ALTOONA
- Practice address
- 620 Howard Ave.
Altoona, PA 16601-4899 - Phone
- (814) 889-2223
- Fax
- (814) 889-7808
- NPI assigned
- Oct 25, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ALTOONA REGIONAL HEALTH SYSTEM
Authorized official
- Name
- Mr. Jerry Edmund Murray
- Title
- Ceo
- Phone
- (814) 889-2223
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 17
Practitioners 131
-
Mehrdad Ghaffari, M.D.
-
Timothy A Lucas, MD
-
Elizabeth Ann Abraham, CRNP
-
Leila S Arani, MD
-
Bartu Avci, M.D.
-
Loni Baird, PA-C
-
Anthony J Bartkowiak, M.D.
-
Linnane R Batzel, MD
-
David Benado, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Encompass Health Rehabilitation Hospital of Altoona |
Hospital | 5% Or Greater Indirect Ownership Interest (15%) | Nov 1, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040406000979 | PA | Part B Supplier - Clinic/Group Practice | 8426962465 |
Receives reassigned benefits from 6 practitioners Practice locations: Altoona, PA |
National Provider Directory
- Tax ID family
- Altoona Hospital Oncolo
- Part of
- Altoona Hospital Oncolo
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 012801 | PA | Yes |
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
- Altoona Pulmonary
NPI Registry JSON
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373500800000",
"number": "1942385463",
"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": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "PA",
"license": "012801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Altoona Pulmonary",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Altoona, PA
- Upmc Altoona
- Upmc Altoona
- Upmc Altoona
- Upmc Altoona
- Upmc Altoona
- Upmc Altoona Partnership for a Healthy Communiity
- Upmc Altoona Regional Health
- Upmc Altoona Regional Health Services, Inc
- Upmc Altoona Regional Health Services, Inc
- Upmc Behavioral Health of the Alleghenies
All providers in Altoona, PA · General Acute Care Hospital in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.