UPMC WILLIAMSPORT (NPI# 1649746488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649746488 |
Entity Type | Organization |
Organization Name | UPMC WILLIAMSPORT |
Practice Address |
1100 Grampian Blvd Williamsport PA 17701-1909 |
Mailing Address |
600 Grant St, Us Steel Tower, 59th Floor C/o Renee Johnson Pittsburgh PA 15219-2740 |
Practice Telephone | 5703268000 |
Mailing Telephone | 4126236303 |
Mailing Fax Number | 4126236369 |
Enumeration Date | 2018-10-19 |
Last Update Date | 2020-02-27 |
Authorized Official Name | CHRISTOPHER STOCKHAUSEN (CFO) |
Authorized Official Telephone | 4125789592 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1007548350042 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225500770 | Upmc Williamsport | Clinic/Center | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2018-12-21 |
1063597334 | Upmc Williamsport | Clinic/Center | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-10-26 |
1285719559 | Upmc Williamsport | Clinic/Center | 700 High Street, Williamsport, PA 17701-3198 | 2006-10-26 |
1093890360 | Upmc Williamsport | Ambulance | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-10-26 |
1740365097 | Upmc Williamsport | Clinic/Center | 700 High St, Williamsport, PA 17701-3198 | 2006-10-26 |
1982788048 | Upmc Williamsport | Clinic/Center | 740 High St, Williamsport, PA 17701-3102 | 2006-10-25 |
1609801976 | Upmc Williamsport | Ambulance | 700 High St, Williamsport, PA 17701-3198 | 2006-07-12 |
1588698922 | Upmc Williamsport | Rehabilitation Unit | 700 High St, Williamsport, PA 17701-3198 | 2006-07-10 |
1710930557 | Upmc Williamsport | Nurse Anesthetist, Certified Registered | 700 High St, Williamsport, PA 17701-3198 | 2006-05-19 |
Street Address |
1100 GRAMPIAN BLVD |
City | WILLIAMSPORT |
State | PA |
Zip Code | 17701-1909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902804339 | Jennifer Ellyn Bayer | Nurse Practitioner | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2005-07-11 |
1225647548 | Justin Silverstrim | Physician Assistant | 1100 Grampian Blvd, Williamsport, PA 17701-1907 | 2020-07-23 |
1346862745 | Kyle Creighton Thiel | Nurse Practitioner | 1100 Grampian Blvd, Williamsport, PA 17701-1907 | 2020-05-08 |
1598399610 | Jacquelyn Elaine Baker | Social Worker | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2020-02-27 |
1811531304 | Elizabeth Belz | Physician Assistant | 1100 Grampian Blvd, Williamsport, PA 17701-1907 | 2019-10-29 |
1881157618 | Stephanie Herman | Nurse Practitioner | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2019-04-09 |
1376017947 | Amanda Marie Swanson | Nurse Practitioner | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2019-01-17 |
1225500770 | Upmc Williamsport | Clinic/Center | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2018-12-21 |
1164907226 | Robin Elaine Sammons | Nurse Practitioner | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2018-09-25 |
1083194310 | Erin Leigh Miller | Psychologist | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2018-08-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
Find all providers in zip 17701 |
Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366596488 | Meadville Medical Center | Psychiatric Unit | 1034 Grove St., Psychiatric Unit, Meadville, PA 16335-2945 | 2007-01-23 |
1023129707 | The Children's Institute of Pittsburgh | Psychiatric Unit | 6301 Northumberland St, Pittsburgh, PA 15217-1360 | 2006-08-31 |
1588771216 | Pinnacle Health Hospitals | Psychiatric Unit | 2401 N 3rd St, Harrisburg, PA 17110-1902 | 2006-08-25 |
1356354567 | Blue Mountain Hospital | Psychiatric Unit | 211 North 12th Street, Lehighton, PA 18235-1138 | 2006-08-15 |
1194755892 | Tenet Health System Hahnemann, LLC | Psychiatric Unit | Broad & Vine Streets, Mailstop 417, Philadelphia, PA 19102-1178 | 2006-07-05 |
1649897562 | Highlands Hospital and Health Center | Psychiatric Unit | 401 E Murphy Ave, Connellsville, PA 15425-2724 | 2020-06-26 |
1336786276 | Somerset Health Services, Inc. | Psychiatric Unit | 225 S Center Ave, Somerset, PA 15501-2033 | 2019-12-10 |
1184116774 | Schuylkill Medical Center - South Jackson Street | Psychiatric Unit | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2018-05-31 |
1629578604 | Calvin A Alvesvelez | Psychiatric Unit | 500 University Dr, Hershey, PA 17033-2360 | 2018-02-16 |
1871012575 | Merakey Recovery Services | Psychiatric Unit | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-09-13 |
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City | WILLIAMSPORT |
Zip Code | 17701 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.