Provider Demographics
NPI:1417310137
Name:SHAARE ZEDEK MEDICAL CENTER
Entity Type:Organization
Organization Name:SHAARE ZEDEK MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF BOOKKEEPER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAYIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:9722-666-6318
Mailing Address - Street 1:12 SHMUEL BAIT
Mailing Address - Street 2:
Mailing Address - City:JERUSALEM
Mailing Address - State:JERUSALEM
Mailing Address - Zip Code:9103102
Mailing Address - Country:IL
Mailing Address - Phone:9722-655-5111
Mailing Address - Fax:9722-655-5312
Practice Address - Street 1:P O B 3235
Practice Address - Street 2:
Practice Address - City:JERUSALEM
Practice Address - State:ISRAEL
Practice Address - Zip Code:9103102
Practice Address - Country:IL
Practice Address - Phone:9722-655-5111
Practice Address - Fax:9722-655-5312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center