Provider Demographics
NPI:1457346025
Name:WHITE PLAINS HOSPITAL CENTER
Entity Type:Organization
Organization Name:WHITE PLAINS HOSPITAL CENTER
Other - Org Name:WHITE PLAINS HOSP HHA
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR/DPS
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-681-1087
Mailing Address - Street 1:41 E POST RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4607
Mailing Address - Country:US
Mailing Address - Phone:914-681-1087
Mailing Address - Fax:914-681-1263
Practice Address - Street 1:90 S RIDGE ST
Practice Address - Street 2:SUITE LL10
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2867
Practice Address - Country:US
Practice Address - Phone:914-681-1087
Practice Address - Fax:914-681-1263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5902601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00274222Medicaid
NY000117OtherBLUE CROSS
NY00274222Medicaid