Provider Demographics
NPI:1578658241
Name:UNION HOSPITAL OF CECIL COUNTY
Entity Type:Organization
Organization Name:UNION HOSPITAL OF CECIL COUNTY
Other - Org Name:MIDDLETOWN DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE / CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-620-2685
Mailing Address - Street 1:212 CARTER DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-5837
Mailing Address - Country:US
Mailing Address - Phone:410-398-4000
Mailing Address - Fax:410-620-1493
Practice Address - Street 1:212 CARTER DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-5837
Practice Address - Country:US
Practice Address - Phone:410-398-4000
Practice Address - Fax:410-620-1493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07005282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE520607RADOtherBC DE OFF SITE RADS
MD407431900Medicaid
DE520607LABOtherBC OFF SITE LABS
DEF00025Medicare PIN