Provider Demographics
NPI: | 1376528398 |
---|---|
Name: | YORK HOSPITAL |
Entity Type: | Organization |
Organization Name: | YORK HOSPITAL |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF FINANCIAL OFFICER |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | ROBIN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | LABONTE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 207-351-2391 |
Mailing Address - Street 1: | 15 HOSPITAL DR |
Mailing Address - Street 2: | |
Mailing Address - City: | YORK |
Mailing Address - State: | ME |
Mailing Address - Zip Code: | 03909-1099 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 15 HOSPITAL DR |
Practice Address - Street 2: | |
Practice Address - City: | YORK |
Practice Address - State: | ME |
Practice Address - Zip Code: | 03909-1099 |
Practice Address - Country: | US |
Practice Address - Phone: | 207-361-2398 |
Practice Address - Fax: | 207-351-2411 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2005-12-13 |
Last Update Date: | 2014-06-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
207PE0005X, 207Q00000X, 207RE0101X, 207RP1001X, 207RX0202X, 207V00000X, 207X00000X, 208000000X, 208200000X, 2084N0400X, 2084P0800X, 208600000X, 208800000X, 261Q00000X | ||
ME | 36286 | 282N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 282N00000X | Hospitals | General Acute Care Hospital | ||
No | 207PE0005X | Allopathic & Osteopathic Physicians | Emergency Medicine | Undersea and Hyperbaric Medicine | Group - Multi-Specialty |
No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
No | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism | Group - Multi-Specialty |
No | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | Group - Multi-Specialty |
No | 207RX0202X | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | Group - Multi-Specialty |
No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Multi-Specialty | |
No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty | |
No | 208200000X | Allopathic & Osteopathic Physicians | Plastic Surgery | Group - Multi-Specialty | |
No | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | Group - Multi-Specialty |
No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
No | 208800000X | Allopathic & Osteopathic Physicians | Urology | Group - Multi-Specialty | |
No | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
921444 | Other | CONNECTICARE | |
003031754 | Other | MEDICAID CONNECTICUT IP | |
10022603 | Other | CAPITAL DISTRICT PHYSICIA | |
200020 | Other | BCNH ER | |
200020 | Other | BCNH IP AND OP | |
62463 | Other | AETNA | |
800373 | Other | BCNH CARDIAC | |
BCNH ONCOLOGY | Other | 200020 | |
M10500 | Other | CIGNA HEALTHSOURCE | |
003023157 | Other | MEDICAID CONNECTICUT OP | |
200020000054 | Other | BCME BCMA | |
IYOK200020 | Other | MATTHEW THORNTON BLUE | |
M10500 | Other | CIGNA HEALTHSOURCE NH | |
ME | 102100000 | Medicaid | |
900273 | Other | HARVARD PILGRIM | |
NH | 99200020 | Medicaid | |
200020 | Other | BCNH ANESTHESIA | |
200020 | Other | MATTHEW THORNTON HMO | |
========= | Other | TRICARE | |
NH | 99200020 | Medicaid |