Provider Demographics
NPI:1528221959
Name:EPISCOPAL HEALTH SERVICES INC
Entity Type:Organization
Organization Name:EPISCOPAL HEALTH SERVICES INC
Other - Org Name:ST JOHN'S EPISCOPAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP REVENUE CYCLE MANAGEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BERTRAND
Authorized Official - Middle Name:
Authorized Official - Last Name:BATISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-450-2492
Mailing Address - Street 1:377 OAK ST STE 300
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-6542
Mailing Address - Country:US
Mailing Address - Phone:718-869-8578
Mailing Address - Fax:718-869-8029
Practice Address - Street 1:327 BEACH 19TH ST
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4423
Practice Address - Country:US
Practice Address - Phone:718-869-7000
Practice Address - Fax:718-869-8507
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EPISCOPAL HEALTH SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-07
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7001024H273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
000085OtherBLUE CROSS
NY00729382Medicaid
000085OtherBLUE CROSS