1376523357 NPI number — UNION HOSPITAL OF CECIL COUNTY

Table of content: (NPI 1376523357)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376523357 NPI number — UNION HOSPITAL OF CECIL COUNTY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNION HOSPITAL OF CECIL COUNTY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376523357
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/11/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
106 BOW ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ELKTON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21921-5544
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-398-4000
Provider Business Mailing Address Fax Number:
410-620-1494

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
106 BOW ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELKTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21921-5544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-398-4000
Provider Business Practice Location Address Fax Number:
410-620-1494
Provider Enumeration Date:
01/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RIESEN
Authorized Official First Name:
JUDY
Authorized Official Middle Name:
Authorized Official Title or Position:
CORPORATE DIRECTOR OF REVENUE CYCLE
Authorized Official Telephone Number:
410-398-3868

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  07005 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0000220605 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000385900 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: MC4 . This is a "BC OF NCA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 470001009 . This is a "PERRYVILLE RAILROAD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 0004568000 . This is a "BC INDEPENDANCE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 01609250 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: A151081 . This is a "BCBS OF DE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: P00849784 . This is a "MEDICARE PALMETTO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 235776 . This is a "COMM MID ATLANTIC MED SE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 470001663 . This is a "RISING SUN RAILROAD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 6902000000K729 . This is a "COM UNITED HC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 009717 . This is a "AETNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 24561 . This is a "COVENTRY" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 57350901 . This is a "BCBS MD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 0000246406 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6902000000KS91 . This is a "COM UNITED HC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: DD6NOP . This is a "BCMD PRINCIPIO SITE LABS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 6902000000K970 . This is a "COMM UHC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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