Organization
UPMC MUNCY
Active
Parent organization
UPMC SUSQUEHANNA
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPMC SUSQUEHANNA
Authorized official
MR. ROGER C YOST (CFO)
(570) 321-3175
Entity
Organization
Contact information
Practice address
215 E WATER ST, MUNCY, PA 17756-8828
(570) 546-8282
(570) 326-8601
Mailing address
600 GRANT STREET US STEEL TOWER, 59TH FLOOR C/O RENEE JOHNSON, PITTSBURGH, PA 15219-2740
(412) 623-6303
(412) 623-6369
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
134301
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000111
AMERIHEALTH ADMINSTR PIN
PA
01
—
058074
FIRST PRIORITY HEALTH PIN
PA
01
—
1004905
KEYSTONE MERCY HEALTH PIN
PA
05
—
1007607800006
—
PA
01
—
20020966
AMERIHEALTH HMO AMER PIN
PA
01
—
29430
GEISINGER HEALTH PLAN PIN
PA
01
—
309502
BLACK LUNG PROGRAM PIN
PA
01
—
391301
AETNA PIN
PA
Enumeration date
10/26/2006
Last updated
09/02/2025
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