Provider Demographics
NPI:1023040235
Name:UNITED HEALTH SERVICES HOSPITALS, INC
Entity Type:Organization
Organization Name:UNITED HEALTH SERVICES HOSPITALS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, THIRD PARTY REIMBURSEMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KEARNEY O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-762-3078
Mailing Address - Street 1:33 LEWIS RD 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-1040
Mailing Address - Country:US
Mailing Address - Phone:607-770-0025
Mailing Address - Fax:
Practice Address - Street 1:10-42 MITCHELL AVE
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13903-1617
Practice Address - Country:US
Practice Address - Phone:607-762-3027
Practice Address - Fax:607-762-2065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00614755Medicaid
NY332373Medicare ID - Type UnspecifiedONSITE O/P DIALYSIS