Provider Demographics
NPI:1861479578
Name:YORK HOSPITAL SKILLED NURSING FACILITY
Entity Type:Organization
Organization Name:YORK HOSPITAL SKILLED NURSING FACILITY
Other - Org Name:
Other - Org Type:
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:207-363-4321
Mailing Address - Fax:207-363-3858
Practice Address - Street 1:15 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1011
Practice Address - Country:US
Practice Address - Phone:207-363-4321
Practice Address - Fax:207-363-3858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME36286314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
200020OtherBCNH ANESTHESIA
NH99200020Medicaid
M10500OtherCIGNA HEALTHSOURCE NH
200020OtherBCNH IP AND OP
200020OtherBCNH ER
IYOK200020OtherMATTHEW THORNTON BLUE
M10500OtherCIGNA HEALTHSOURCE
900273OtherHARVARD PILGRIM
800373OtherBCNH CARDIAC
200020OtherMATTHEW THORNTON HMO
921444OtherCONNECTICARE
10022603OtherCAPITAL DISTRICT PHYSICIA
200020OtherBCNH ONCOLOGY
62463OtherAETNA
E000211OtherTRICARE
200020000054OtherBCME BCMA
800373OtherBCNH CARDIAC