# UPMC MUNCY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UPMC SUSQUEHANNA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467537738
- **Legal business name:** UPMC SUSQUEHANNA
- **Authorized official:** MR. ROGER C YOST (CFO)
- **Authorized official phone:** (570) 321-3175

## Contact information

- **Practice address:** 215 E WATER ST, MUNCY, PA 17756-8828
- **Practice address phone:** (570) 546-8282
- **Practice address fax:** (570) 326-8601
- **Mailing address:** 600 GRANT STREET 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 | 134301 | PA | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 09/02/2025