| Upmc Williamsport | |
|
740 High St Williamsport PA 17701-3102 | |
| (570) 321-2345 | |
| (570) 321-2359 |
| Full Name | Upmc Williamsport |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 740 High St, 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 Street, Us Steel Tower, 59th Floor C/o Renee Johnson Pittsburgh PA 15219-2740 Ph: (412) 623-6303 | Upmc Williamsport 740 High St Williamsport PA 17701-3102 Ph: (570) 321-2345 |
| NPI Number | 1982788048 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 09/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982788048 | NPI | - | NPPES |
| 1007548350032 | Medicaid | PA | |
| 1007548350041 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 234601 (Pennsylvania) | Primary |
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