Provider Demographics
NPI:1184115826
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:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CARRIGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-762-2951
Mailing Address - Street 1:33-57 HARRISON ST
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:JOHNSON CITY
Mailing Address - State:NY
Mailing Address - Zip Code:13790
Mailing Address - Country:US
Mailing Address - Phone:607-763-1835
Mailing Address - Fax:607-729-0182
Practice Address - Street 1:33 MITCHELL AVENUE
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13903
Practice Address - Country:US
Practice Address - Phone:607-352-5950
Practice Address - Fax:607-352-5951
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED HEALTH SERVICES HOSPITALS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy