Provider Demographics
NPI:1154488476
Name:UNITED HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:UNITED HEALTH SERVICES, INC.
Other - Org Name:BINGHAMTON GENERAL HOSPITAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAUGHNESSY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:607-762-2237
Mailing Address - Street 1:20 42 MITCHELL AVE
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13903-1602
Mailing Address - Country:US
Mailing Address - Phone:607-762-2237
Mailing Address - Fax:607-762-3348
Practice Address - Street 1:10 42 MITCHELL AVE
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13903-1602
Practice Address - Country:US
Practice Address - Phone:607-762-2237
Practice Address - Fax:607-762-3348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0172123336I0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00614755Medicaid
2059609OtherPK
3359521OtherOTHER ID NUMBER-COMMERCIAL NUMBER