1811193915 NPI number — ROCKLAND HOSPITAL GUILD, INC.

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 1811193915 NPI number — ROCKLAND HOSPITAL GUILD, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROCKLAND HOSPITAL GUILD, INC.
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:
1811193915
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
140 OLD ORANGEBURG RD
Provider Second Line Business Mailing Address:
BLDG. 1 - ROOM 204
Provider Business Mailing Address City Name:
ORANGEBURG
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10962-1157
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-680-5422
Provider Business Mailing Address Fax Number:
845-680-5562

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
140 OLD ORANGEBURG RD
Provider Second Line Business Practice Location Address:
BLDG. 1 - ROOM 204
Provider Business Practice Location Address City Name:
ORANGEBURG
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10962-1157
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-680-5422
Provider Business Practice Location Address Fax Number:
845-680-5562
Provider Enumeration Date:
06/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CORVALAN
Authorized Official First Name:
MARCY
Authorized Official Middle Name:
Authorized Official Title or Position:
ACCOUNTANT
Authorized Official Telephone Number:
845-680-5422

Provider Taxonomy Codes

  • Taxonomy code: 320800000X , with the licence number:  6399431 , 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: 01305215 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com