UPMC WILLIAMSPORT NPI 1225500770

NPI Information

NPI: 1225500770
Provider Name: UPMC WILLIAMSPORT

Doing Business As: WILLIAMSPORT REGIONAL MEDICAL CENTER SPU- DIVINE PROVIDENCE CAMPUS

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA
ZIP 17701
Phone: (570) 326-8000
Get Directions

UPMC WILLIAMSPORT is an ambulatory surgical clinic center in Williamsport, PA. UPMC WILLIAMSPORT NPI is 1225500770. The provider is registered as an organization entity type.
The provider Is Doing Business As Williamsport Regional Medical Center Spu- Divine Providence Campus.

The provider's business location address is:

1100 GRAMPIAN BLVD
WILLIAMSPORT, PA
ZIP 17701-909
Phone: (570) 326-8000

The provider's authorized official is Christopher Stockhausen .
The authorized official title is Cfo and has the following contact phone number (412) 578-9592.

The enumeration date for this NPI number is 12/21/2018 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1007548350043	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »