Provider Demographics
NPI:1639681950
Name:UNITED HEALTH SERVICES HOSPITALS, INC.
Entity Type:Organization
Organization Name:UNITED HEALTH SERVICES HOSPITALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, PATIENT ACCOUNTING
Authorized Official - Prefix:
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-729-8156
Mailing Address - Street 1:33 LEWIS RD
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-1040
Mailing Address - Country:US
Mailing Address - Phone:607-729-2223
Mailing Address - Fax:607-729-3982
Practice Address - Street 1:33 LEWIS RD
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-1048
Practice Address - Country:US
Practice Address - Phone:607-729-2223
Practice Address - Fax:607-729-3982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03402844Medicaid