UPMC MUNCY (NPI# 1598787590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598787590 |
| Entity Type | Organization |
| Organization Name | UPMC MUNCY |
| Other Organization Name | SUSQUEHANNA HEALTH SKILLED NURSING AND REHABILITATION CENTER |
| Practice Address |
215 E Water St Muncy PA 17756-8828 |
| Mailing Address |
600 Grant Street Us Steel Tower 59th Floor, C/o Renee Johnson Pittsburgh PA 15219-2740 |
| Practice Telephone | 5705464040 |
| Practice Fax Number | 5703268601 |
| Mailing Telephone | 4126236303 |
| Mailing Fax Number | 4126236369 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | MR. CHRISTOPHER 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 |
|---|---|---|---|---|---|
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
134302 | PA | Suppliers |
| Y | 314000000X | Skilled Nursing Facility | 134302 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007607800001 | 05 | |
| PA | FIRST PRIORITY HEALTH PIN | 058074 | 01 |
| PA | AMERIHEALTH ADMINSTR PIN | 000111 | 01 |
| PA | AETNA PIN | 391301 | 01 |
| PA | AMERIHEALTH HMO AMER PIN | 20020966 | 01 |
| PA | BLUE CROSS PIN | 395571 | 01 |
| PA | HEALTH AMERICA PIN | 395571 | 01 |
| PA | BLACK LUNG PROGRAM PIN | 395571 | 01 |
| PA | GEISINGER HEALTH PLAN PIN | 29430 | 01 |
| Other Name | Type Code |
|---|---|
| Susquehanna Health Skilled Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| 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 |
| 1588600902 | Upmc Muncy | Medicare Defined Swing Bed Unit | 215 E Water St, Muncy, PA 17756-8828 | 2006-06-22 |
| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990675 | Elizabethtown Opco LLC | Skilled Nursing Facility | 141 Heisey Avenue, Elizabethtown, PA 17022-8107 | 2020-10-22 |
| 1689273500 | Southwestern Healthcare Operations LLC | Skilled Nursing Facility | 500 Lewis Run Road, Pittsburgh, PA 15122-3056 | 2020-10-21 |
| 1922626290 | Brsi, Lp | Skilled Nursing Facility | 303 Walnut St Fl 7, Harrisburg, PA 17101-1825 | 2020-07-13 |
| 1932727591 | 1425 Horsham Snf Operations LLC | Skilled Nursing Facility | 1425 Horsham Road, North Wales, PA 19454-1320 | 2020-07-10 |
| 1184242182 | Conestoga View Snf Operations LLC | Skilled Nursing Facility | 900 E King Street, Lancaster, PA 17602-3272 | 2020-07-07 |
| 1164040168 | Mountain View Snf Operations LLC | Skilled Nursing Facility | 2050 Trevorton Road, Coal Township, PA 17866-9405 | 2020-07-07 |
| 1508484502 | Timber Ridge Snf Operations LLC | Skilled Nursing Facility | 1555 East End Boulevard, Plains Twp, PA 18702-7927 | 2020-07-07 |
| 1205456704 | Embassy Sharon, LLC | Skilled Nursing Facility | 959 E. State Street, Sharon, PA 16146 | 2020-04-24 |
| 1952940785 | Newport Meadows Health and Rehabilitation Center LLC | Skilled Nursing Facility | 41 Newport Avenue, Christina, PA 17509-1305 | 2019-12-26 |
| 1851954176 | Silvercare Skilled Nursing LLC | Skilled Nursing Facility | 2600 W 9th St Unit A, Chester, PA 19013-2040 | 2019-04-22 |
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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.