| Upmc Williamsport | |
|
1100 Grampian Blvd Williamsport PA 17701-1909 | |
| (570) 326-8000 | |
| Not Available |
| Full Name | Upmc Williamsport |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1100 Grampian Blvd, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Christopher Stockhausen (CFO) |
| Authorized Official Contact | 4125789592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upmc Williamsport 600 Grant St, Us Steel Tower, 59th Floor C/o Renee Johnson Pittsburgh PA 15219-2740 Ph: (412) 623-6303 | Upmc Williamsport 1100 Grampian Blvd Williamsport PA 17701-1909 Ph: (570) 326-8000 |
| NPI Number | 1649746488 |
|---|---|
| Provider Enumeration Date | 10/19/2018 |
| Last Update Date | 11/27/2023 |
| Certification Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649746488 | NPI | - | NPPES |
| 1007548350042 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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