Provider Demographics
NPI:1134244684
Name:WINDBER HOSPITAL, INC
Entity type:Organization
Organization Name:WINDBER HOSPITAL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
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:814-467-3000
Mailing Address - Fax:
Practice Address - Street 1:121 ROLLING ACRES DR
Practice Address - Street 2:
Practice Address - City:ALUM BANK
Practice Address - State:PA
Practice Address - Zip Code:15521-8264
Practice Address - Country:US
Practice Address - Phone:814-839-4191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA234901261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000887138OtherHIGHMARK BLUE CROSS PROV#
PA1007703740029Medicaid
PA=========003OtherTRICARE PROVIDER NUMBER
PA000887138OtherHIGHMARK BLUE CROSS PROV#