1376528398 NPI number — YORK HOSPITAL

Table of content: (NPI 1376528398)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376528398 NPI number — YORK HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
YORK HOSPITAL
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:
1376528398
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/09/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15 HOSPITAL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YORK
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
03909-1099
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
03909-1099
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-361-2398
Provider Business Practice Location Address Fax Number:
207-351-2411
Provider Enumeration Date:
12/13/2005

Additional Information

Authorized Official

Authorized Official Last Name:
LABONTE
Authorized Official First Name:
ROBIN
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
207-351-2391

Provider Taxonomy Codes

  • Taxonomy code: 207PE0005X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RE0101X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RP1001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RX0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084N0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: 36286 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 921444 . This is a "CONNECTICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 003031754 . This is a "MEDICAID CONNECTICUT IP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10022603 . This is a "CAPITAL DISTRICT PHYSICIA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200020 . This is a "BCNH ER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200020 . This is a "BCNH IP AND OP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 62463 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 800373 . This is a "BCNH CARDIAC" identifier . This identifiers is of the category "OTHER".
  • Identifier: BCNH ONCOLOGY . This is a "200020" identifier . This identifiers is of the category "OTHER".
  • Identifier: M10500 . This is a "CIGNA HEALTHSOURCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 003023157 . This is a "MEDICAID CONNECTICUT OP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200020000054 . This is a "BCME BCMA" identifier . This identifiers is of the category "OTHER".
  • Identifier: IYOK200020 . This is a "MATTHEW THORNTON BLUE" identifier . This identifiers is of the category "OTHER".
  • Identifier: M10500 . This is a "CIGNA HEALTHSOURCE NH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 102100000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 900273 . This is a "HARVARD PILGRIM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 99200020 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200020 . This is a "BCNH ANESTHESIA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200020 . This is a "MATTHEW THORNTON HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 113684800 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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