Provider Demographics
NPI: | 1073817813 |
---|---|
Name: | NASON HOSPITAL |
Entity Type: | Organization |
Organization Name: | NASON HOSPITAL |
Other - Org Name: | NASON HOSPITAL GLOBAL MRI |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | VICE-PRESIDENT, FISCAL SERVICES |
Authorized Official - Prefix: | |
Authorized Official - First Name: | RAYMOND |
Authorized Official - Middle Name: | C |
Authorized Official - Last Name: | ASKEY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 814-224-6201 |
Mailing Address - Street 1: | 105 NASON DR |
Mailing Address - Street 2: | |
Mailing Address - City: | ROARING SPRING |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 16673-1202 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 814-224-6201 |
Mailing Address - Fax: | 814-224-6247 |
Practice Address - Street 1: | 105 NASON DR |
Practice Address - Street 2: | |
Practice Address - City: | ROARING SPRING |
Practice Address - State: | PA |
Practice Address - Zip Code: | 16673-1202 |
Practice Address - Country: | US |
Practice Address - Phone: | 814-224-6201 |
Practice Address - Fax: | 814-224-6247 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-01-10 |
Last Update Date: | 2011-01-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | Group - Single Specialty |