Organization
UPMC WILLIAMSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER STOCKHAUSEN (CFO)
(412) 578-9592
Entity
Organization
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3198
(570) 321-2600
(570) 326-8601
Mailing address
600 GRANT STREET, US STEEL TOWER, 59TH FLOOR, C/O RENEE JOHNSON, PITTSBURGH, PA 15219-2740
(412) 623-6303
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
234601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000109
AMERIHEALTH ADMISTR PIN
PA
01
—
074006
FIRST PRIORITY HEALTH PIN
PA
05
—
1007548350022
—
PA
01
—
1017347
KEYSTONE MERCY HEALTH PIN
PA
01
—
20007166
AMERIHEALTH HMO AMER PIN
PA
01
—
29796
GEISINGER HEALTH PLAN PIN
PA
01
—
301400
BLACK LUNG PROGRAM PIN
PA
01
—
390045
HEALTH ASSURANCE PIN
PA
01
—
39T045
BLUE CROSS PIN
PA
Enumeration date
07/10/2006
Last updated
11/27/2023
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