Organization
UPMC MUNCY
Active
Parent organization
UPMC SUSQUEHANNA
Other names
Susquehanna Health Skilled Nursing and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPMC SUSQUEHANNA
Authorized official
ROGER C. YOST (CFO)
(570) 321-3175
Entity
Organization
Contact information
Practice address
215 E WATER ST, MUNCY, PA 17756-8828
(570) 546-4040
(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
314000000X
Skilled Nursing Facility
Primary
134302
PA
332BN1400X
Nursing Facility Supplies (DME)
134302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000111
AMERIHEALTH ADMINSTR PIN
PA
01
—
058074
FIRST PRIORITY HEALTH PIN
PA
05
—
1007607800001
—
PA
01
—
20020966
AMERIHEALTH HMO AMER PIN
PA
01
—
29430
GEISINGER HEALTH PLAN PIN
PA
01
—
391301
AETNA PIN
PA
01
—
395571
BLUE CROSS PIN
PA
Enumeration date
07/25/2006
Last updated
01/03/2025
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