# UPMC WILLIAMSPORT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Williamsport Regional Medical Center SPU- Divine Providence Campus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225500770
- **Authorized official:** CHRISTOPHER STOCKHAUSEN (CFO)
- **Authorized official phone:** (412) 578-9592

## Contact information

- **Practice address:** 1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1909
- **Practice address phone:** (570) 326-8000
- **Mailing address:** 600 GRANT ST, US STEEL TOWER, 59TH FLOOR, C/O RENEE JOHNSON, PITTSBURGH, PA 15219-2740
- **Mailing address phone:** (412) 623-6303
- **Mailing address fax:** (412) 623-6369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/21/2018
- **Last updated:** 11/27/2023