Provider Demographics
NPI:1225091044
Name:WINDBER HOSPITAL, INC.
Entity Type:Organization
Organization Name:WINDBER HOSPITAL, INC.
Other - Org Name:WINDBER SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, FACHE
Authorized Official - Phone:814-467-3702
Mailing Address - Street 1:600 SOMERSET AVE
Mailing Address - Street 2:
Mailing Address - City:WINDBER
Mailing Address - State:PA
Mailing Address - Zip Code:15963-1331
Mailing Address - Country:US
Mailing Address - Phone:814-467-3037
Mailing Address - Fax:814-467-3038
Practice Address - Street 1:600 SOMERSET AVE
Practice Address - Street 2:
Practice Address - City:WINDBER
Practice Address - State:PA
Practice Address - Zip Code:15963-1331
Practice Address - Country:US
Practice Address - Phone:814-467-3037
Practice Address - Fax:814-467-3038
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WINDBER HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
208600000X
PAMD031178L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007703740031Medicaid
PA1725287OtherHIGHMARK BLUE CROSS
PA1725287OtherHIGHMARK BLUE CROSS