Provider Demographics
NPI:1376848119
Name:HILL HOSPITAL OF YORK
Entity Type:Organization
Organization Name:HILL HOSPITAL OF YORK
Other - Org Name:HILL HOSPITAL OF SUMTER COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:KIDD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-392-5263
Mailing Address - Street 1:751 DERBY DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:AL
Mailing Address - Zip Code:36925-2121
Mailing Address - Country:US
Mailing Address - Phone:205-392-5263
Mailing Address - Fax:205-376-6430
Practice Address - Street 1:751 DERBY DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:AL
Practice Address - Zip Code:36925-2121
Practice Address - Country:US
Practice Address - Phone:205-392-5263
Practice Address - Fax:205-376-6430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-25
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL01U138Medicare Oscar/Certification