Provider Demographics
NPI:1538144662
Name:YORK HOSPITAL
Entity Type:Organization
Organization Name:YORK HOSPITAL
Other - Org Name:YORK HOSPITAL HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
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:03909-1011
Mailing Address - Country:US
Mailing Address - Phone:207-351-2194
Mailing Address - Fax:207-351-2225
Practice Address - Street 1:24 SUMMIT LN UNIT 6
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1004
Practice Address - Country:US
Practice Address - Phone:207-351-2194
Practice Address - Fax:207-351-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-13
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME03076251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME102100200Medicaid
025697OtherBCME BCMA
2438527OtherAETNA
207070OtherBCNH
025697OtherBCME BCMA
=========009OtherTUFTS
ME102100200Medicaid