Provider Demographics
NPI:1215217682
Name:UNION HOSPITAL OF CECIL COUNTY
Entity Type:Organization
Organization Name:UNION HOSPITAL OF CECIL COUNTY
Other - Org Name:UNION NUTRITION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:TYLER
Authorized Official - Last Name:REISEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-398-4000
Mailing Address - Street 1:677 E PULASKI HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-6037
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:137 W HIGH ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-8604
Practice Address - Country:US
Practice Address - Phone:410-620-3548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty