1598755324 NPI number — ST. ANTHONY COMMUNITY HOSPITAL

Table of content: (NPI 1598755324)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598755324 NPI number — ST. ANTHONY COMMUNITY HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. ANTHONY COMMUNITY 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:
1598755324
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15-19 MAPLE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARWICK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10990
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-987-5317
Provider Business Mailing Address Fax Number:
845-986-2687

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15 MAPLE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARWICK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10990-1028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-987-5317
Provider Business Practice Location Address Fax Number:
845-986-2687
Provider Enumeration Date:
10/24/2005

Additional Information

Authorized Official

Authorized Official Last Name:
LEAHY
Authorized Official First Name:
MARY
Authorized Official Middle Name:
Authorized Official Title or Position:
EXCUTIVE VICE PRESIDENT
Authorized Official Telephone Number:
845-987-5317

Provider Taxonomy Codes

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

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

  • Identifier: H04399 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: IC0509 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: IC0510 . This is a "PHS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 14040 . This is a "US HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00273890 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 76445 . This is a "MVP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4158105 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0004845000 . This is a "AMERIHEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000960 . This is a "BLUE CROSS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000004578 . This is a "GHI HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com