1821162314 NPI number — BUTLER MEMORIAL HOSPITAL

Table of content: (NPI 1821162314)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821162314 NPI number — BUTLER MEMORIAL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BUTLER MEMORIAL 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:
1821162314
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/23/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
911 E BRADY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BUTLER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16001-4646
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:
911 E BRADY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BUTLER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16001-4646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-284-4467
Provider Business Practice Location Address Fax Number:
724-284-4095
Provider Enumeration Date:
11/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WEST
Authorized Official First Name:
DEBORAH
Authorized Official Middle Name:
L
Authorized Official Title or Position:
DIRECTOR, NETWORK BUSINESS SERVICES
Authorized Official Telephone Number:
724-284-4467

Provider Taxonomy Codes

  • Taxonomy code: 276400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1007731600017 . This is a "MA INPT DRUG ALCHOL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007731600033 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: A345901 . This is a "VALUE E.BRADY ST" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007731600036 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1021719 . This is a "GATEWAY OP DA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: A345904 . This is a "VALUE ALLEGH VALLEY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 100773160004 . This is a "MA OP CRANBERRY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007731600034 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1021720 . This is a "GATEWAY CRANBERRY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1021721 . This is a "GATEWAY ALLEGH VALLY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 28 1404427 . This is a "COMMUNITY CARE OP DA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007731600002 . This is a "MA OP 5T" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007731600008 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007731600016 . This is a "MA OP ALLEGH VALLEY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 12 0947169 . This is a "COMMUNITY CARE INPT DA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 807 . This is a "BLUE CROSS D&A" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007731600004 . This is a "MA OP WASHINGTON ST" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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