NPIMap

Organization Active NPI

Upmc Wellsboro

Doing business as Soldiers and Sailors Memorial Hospital Radiology

  • Radiology Clinic/Center
  • Wellsboro, PA
National Provider Identifier
1962754895
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
UPMC WELLSBORO
Doing business as
Soldiers and Sailors Memorial Hospital Radiology
Practice address
32-36 Central Ave
Radiology Department
Wellsboro, PA 16901-1840
Phone
(570) 723-0160
Fax
(570) 724-2126
NPI assigned
Oct 2, 2012
Last updated
Jan 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
UPMC WELLSBOROAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Janie M Hilfiger
Title
President and Ceo
Phone
(570) 724-1631

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X NU
Radiology Clinic/Center 261QR0200X NU Primary
Mammography Clinic/Center 261QR0206X NU

Addresses

Primary practice location

32-36 Central Ave
Radiology Department
Wellsboro, PA 16901-1840

Mailing address

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

Other names 1

  • Soldiers and Sailors Memorial Hospital Radiology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130712000380 PA Part B Supplier - Hospital Department(S) 5294710414 Receives reassigned benefits from 18 practitioners
1 other NPI on this enrollment
Practice locations: Wellsboro, PA

Other NPIs with the same Medicare PAC ID 3

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.

  • Upmc Wellsboro

    dba UPMC Wellsboro Anesthesia

    • Certified Registered Nurse Anesthetist
    • Wellsboro, PA
    • NPI 1528681871

    O20130712000380

    Same enrollment

National Provider Directory

National Provider Directory
Part of
Upmc Wellsboro

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1962754895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRANT STREET, 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": "32-36 CENTRAL AVE",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011840",
            "telephone_number": "570-723-0160",
            "fax_number": "570-724-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC WELLSBORO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPMC WELLSBORO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "HILFIGER",
        "authorized_official_first_name": "JANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "570-724-1631"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soldiers and Sailors Memorial Hospital Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.