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
740 HIGH ST, WILLIAMSPORT, PA 17701-3102
(570) 321-2345
(570) 321-2359
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
261QP2300X
Primary Care Clinic/Center
Primary
234601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007548350032
—
PA
05
—
1007548350041
—
PA
Enumeration date
10/25/2006
Last updated
09/10/2021
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