UPMC MUNCY (NPI# 1588600902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588600902 |
| Entity Type | Organization |
| Organization Name | UPMC MUNCY |
| Practice Address |
215 E Water St Muncy PA 17756-8828 |
| Mailing Address |
1205 Grampian Blvd 2nd Floor Williamsport PA 17701-1978 |
| Practice Telephone | 5705468282 |
| Practice Fax Number | 5703268601 |
| Mailing Telephone | 5703268676 |
| Mailing Fax Number | 5703268601 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | MR. CHRISTOPHER D. STOCKHAUSEN (INTERIM CFO) |
| Authorized Official Telephone | 4125789592 |
| Is Organization Subpart | Y |
| Parent Organization Name | UPMC SUSQUEHANNA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 134301 | PA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | FIRST PRIORITY HEALTH PIN | 058074 | 01 |
| PA | BLUE CROSS PIN | 39Z301 | 01 |
| PA | HEALTH AMERICA PIN | 391301 | 01 |
| PA | AMERIHEALTH ADMINSTR PIN | 000111 | 01 |
| PA | GEISINGER HEALTH PLAN PIN | 29430 | 01 |
| PA | AETNA PIN | 391301 | 01 |
| PA | AMERIHEALTH HMO AMER PIN | 20020966 | 01 |
| PA | KEYSTONE MERCY HEALTH PIN | 1004905 | 01 |
| PA | BLACK LUNG PROGRAM PIN | 309502 | 01 |
| PA | HEALTH ASSURANCE PIN | 391301 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467537738 | Upmc Muncy | Clinic/Center | 215 E Water St, Muncy, PA 17756-8828 | 2006-10-26 |
| 1912082272 | Upmc Muncy | Clinic/Center | 215 E Water St, Muncy, PA 17756-8828 | 2006-10-26 |
| 1598787590 | Upmc Muncy | Durable Medical Equipment & Medical Supplies | 215 E Water St, Muncy, PA 17756-8828 | 2006-07-25 |
| 1609816198 | Upmc Muncy | Clinic/Center | 215 E Water St, Muncy, PA 17756-8828 | 2006-06-07 |
| Street Address |
215 E WATER ST |
| City | MUNCY |
| State | PA |
| Zip Code | 17756-8828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909602 | Mollie Elizabeth Sullivan | Speech-Language Pathologist | 215 E Water St, Muncy, PA 17756-8828 | 2020-07-08 |
| 1265084982 | Dwight Heller | Occupational Therapist | 215 E Water St, Muncy, PA 17756-8828 | 2019-07-12 |
| 1598317224 | Vickie Lynne Dgien | Physical Therapist | 215 E Water St, Muncy, PA 17756-8828 | 2019-07-12 |
| 1790337426 | Valerie Jean Wohlfert-white | Physical Therapy Assistant | 215 E Water St, Muncy, PA 17756-8828 | 2019-07-12 |
| 1861044653 | Amy Louise Vandermark | Physical Therapist | 215 E Water St, Muncy, PA 17756-8828 | 2019-07-11 |
| 1225680309 | Debra A Morin | Physical Therapist | 215 E Water St, Muncy, PA 17756-8828 | 2019-07-10 |
| 1619461829 | Meghan Sarik | Occupational Therapist | 215 E Water St, Muncy, PA 17756-8828 | 2018-06-20 |
| 1265940100 | Jennifer Nicole Mccloskey | Occupational Therapy Assistant | 215 E Water St, Muncy, PA 17756-8828 | 2018-01-12 |
| 1225556558 | Tracy Haskins | Speech-Language Pathologist | 215 E Water St, Muncy, PA 17756-8828 | 2017-09-07 |
| 1396273579 | Danielle Joy Sommers | Speech-Language Pathologist | 215 E Water St, Muncy, PA 17756-8828 | 2017-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830653 | Jeff Minor | Pharmacist | 1271 E Penn St, Muncy, PA 17756 | 2018-11-19 |
| 1730661422 | Erika E Mabus Od PC | Optometrist | 2214 Pa-405, Muncy, PA 17756 | 2018-08-30 |
| 1649672833 | Bethany Lauren Stroup | Occupational Therapist | 215 E. Water St., Genesis Rehabilitation Services, Susquehanna Health, Muncy, PA 17756 | 2014-09-19 |
| 1861826430 | Brian D Shiptoski | Nurse Practitioner | 6454 Rt 405 Hwy, Sci-muncy, Muncy, PA 17756 | 2013-08-30 |
| 1770741894 | Families United Network Inc | Foster Care Agency | 276 Ashler Manor Drive, Pennsdale, PA 17756 | 2008-05-27 |
| 1578674826 | Harrison Gooderham Mccormick | Social Worker | 1881 Bitler Hill Road, Muncy, PA 17756 | 2006-08-31 |
| 1316908742 | Anita Nagpal | Physician Assistant | 604 Fox Hollow Circle, Muncy, PA 17756 | 2006-03-28 |
| 1578546685 | Hamptons Chiropractic Inc | Chiropractor | 2848 Route 405 Highway, Muncy, PA 17756 | 2005-11-22 |
| 1699111229 | Rose A. Trevouledes | Dietitian, Registered | 10 Shady Lane, Suite 202, Muncy, PA 17756 | 2013-05-22 |
| 1083615538 | Melinda A Mckee | Chiropractor | 18 N Washington St, Muncy, PA 17756-1111 | 2005-08-09 |
| Find all providers in zip 17756 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144461419 | University of Pittsburgh Medical Center | Medicare Defined Swing Bed Unit | 200 Lothrop St. Scaife Hall, Suite B-571.3, Pittsburgh, PA 15213 | 2009-03-17 |
| 1104921428 | Titusville Area Hospital | Medicare Defined Swing Bed Unit | 406 West Oak Street, Titusville, PA 16354 | 2006-09-13 |
| 1679500334 | Wayne Memorial Hospital | Medicare Defined Swing Bed Unit | 601 Park Street, Honesdale, PA 18431 | 2006-06-27 |
| 1982681102 | Bucktail Medical Center | Medicare Defined Swing Bed Unit | 1001 Pine Street, Renovo, PA 17764 | 2005-12-29 |
| 1811511108 | Wilkes-barre Hospital Company LLC | Medicare Defined Swing Bed Unit | 575 N River St, Wilkes Barre, PA 18764-0999 | 2020-06-02 |
| 1194368167 | Stc Opco LLC | Medicare Defined Swing Bed Unit | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-23 |
| 1457879538 | Jennersville Hospital, LLC | Medicare Defined Swing Bed Unit | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2017-09-08 |
| 1750803797 | Upmc Lock Haven | Medicare Defined Swing Bed Unit | 24 Cree Dr, Lock Haven, PA 17745-2699 | 2017-07-12 |
| 1437671484 | Upmc Susquehanna Sunbury | Medicare Defined Swing Bed Unit | 350 N 11th St, Sunbury, PA 17801-1611 | 2017-07-12 |
| 1972982882 | T.g.c.h. Inc. | Medicare Defined Swing Bed Unit | 350 Bonar Ave, Waynesburg, PA 15370-1608 | 2015-05-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.