1023173150 NPI number — YORK HOSPITAL

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 1023173150 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:
6
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:
1023173150
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/27/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
114 SANFORD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WELLS
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04090-5533
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-641-8911
Provider Business Mailing Address Fax Number:
207-641-8998

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
114 SANFORD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WELLS
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04090-5533
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-641-8911
Provider Business Practice Location Address Fax Number:
207-641-8998
Provider Enumeration Date:
12/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
OCONNOR
Authorized Official First Name:
KIMBERLY
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACY MANAGER
Authorized Official Telephone Number:
207-698-6740

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  PH50001278 , 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: 2008046 . This is a "NCPDP PROVIDER IDENTIFICATION NUMBER" identifier . This identifiers is of the category "OTHER".




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