Organization
UPMC WILLIAMSPORT
Active
Other names
Williamsport Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES SANTANGELO (EXECUTIVE VP-CFO)
(570) 321-3171
Entity
Organization
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3198
(570) 321-2385
(570) 321-2479
Mailing address
1201 GRAMPIAN BLVD, SUITE 1K, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4223
GEISINGER HEALTH PLAN
PA
Enumeration date
05/19/2006
Last updated
02/26/2020
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