Provider Demographics
NPI:1427416809
Name:ESPANOLA GENERAL HOSPITAL
Entity Type:Organization
Organization Name:ESPANOLA GENERAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:RENAUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:705-869-2608
Mailing Address - Street 1:825 MCKINNON DR
Mailing Address - Street 2:
Mailing Address - City:ESPANOLA
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:P5E 1R4
Mailing Address - Country:CA
Mailing Address - Phone:705-869-2608
Mailing Address - Fax:705-869-2608
Practice Address - Street 1:825 MCKINNON DR
Practice Address - Street 2:
Practice Address - City:ESPANOLA
Practice Address - State:ONTARIO
Practice Address - Zip Code:P5E 1R4
Practice Address - Country:CA
Practice Address - Phone:705-869-2608
Practice Address - Fax:705-869-2608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital