Provider Demographics
NPI:1972516177
Name:NORTHAMPTON HOSPTIAL CORPORATION
Entity Type:Organization
Organization Name:NORTHAMPTON HOSPTIAL CORPORATION
Other - Org Name:EASTON AREA OBSTETRICS AND GYNECOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWSOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-465-7100
Mailing Address - Street 1:41 COMMUNITY DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-2657
Mailing Address - Country:US
Mailing Address - Phone:610-258-3615
Mailing Address - Fax:610-253-4496
Practice Address - Street 1:41 COMMUNITY DR
Practice Address - Street 2:SUITE 2
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-2657
Practice Address - Country:US
Practice Address - Phone:610-258-3615
Practice Address - Fax:610-253-4496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
062870Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER