1417310137 NPI number — SHAARE ZEDEK MEDICAL CENTER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417310137 NPI number — SHAARE ZEDEK MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHAARE ZEDEK MEDICAL CENTER
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:
1417310137
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/31/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12 SHMUEL BAIT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JERUSALEM
Provider Business Mailing Address State Name:
JERUSALEM
Provider Business Mailing Address Postal Code:
9103102
Provider Business Mailing Address Country Code:
IL
Provider Business Mailing Address Telephone Number:
97226555111
Provider Business Mailing Address Fax Number:
97226555312

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
P O B 3235
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JERUSALEM
Provider Business Practice Location Address State Name:
ISRAEL
Provider Business Practice Location Address Postal Code:
9103102
Provider Business Practice Location Address Country Code:
IL
Provider Business Practice Location Address Telephone Number:
97226555111
Provider Business Practice Location Address Fax Number:
97226555312
Provider Enumeration Date:
03/31/2016

Additional Information

Authorized Official

Authorized Official Last Name:
SUTER
Authorized Official First Name:
CHAYIM
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF BOOKKEEPER
Authorized Official Telephone Number:
97226666318

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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