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SOUTHAMPTON HOSPITAL ASSOCIATION NPI 1295899086


NPI Information

NPI: 1295899086
Provider Name: SOUTHAMPTON HOSPITAL ASSOCIATION

Doing Business As: WESTHAMPTON PRIMARY CARE CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 33D0950474

Address:
147 BEACH RD
SUITE A
WESTHAMPTON BEACH, NY
ZIP 11978
Phone: (631) 288-7746
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SOUTHAMPTON HOSPITAL ASSOCIATION is a primary care clinic center in Westhampton Beach, NY. SOUTHAMPTON HOSPITAL ASSOCIATION NPI is 1295899086. The provider is registered as an organization entity type.
The provider Is Doing Business As Westhampton Primary Care Center.

The provider's business location address is:

147 BEACH RD
SUITE A
WESTHAMPTON BEACH, NY
ZIP 11978-733
Phone: (631) 288-7746
Fax: (631) 288-7111

The provider's authorized official is Christopher J. Schultheis .
The authorized official title is Chief Financial Officer and has the following contact phone number (631) 726-8300.

The CLIA number assigned to this NPI record is 33D0950474 - ancillary testing site in health care center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/19/2006 and was last updated on 11/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CarePFI #5757NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W7D131MEDICARE PIN
202548492MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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