UPMC WILLIAMSPORT


Address: 1100 Grampian Blvd, Williamsport, PA 17701-1909
Phone: 5703268000

UPMC WILLIAMSPORT (NPI# 1649746488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
PA 1007548350042 05

Other Provider IDs and Locations

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

Office Location

Street Address 1100 GRAMPIAN BLVD
City WILLIAMSPORT
State PA
Zip Code 17701-1909

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City WILLIAMSPORT
Zip Code 17701

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Dataset Information

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.

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