OUR LADY OF LOURDES MEMORIAL HOSPITAL INC NPI 1568663615

NPI Information

NPI: 1568663615
Provider Name: OUR LADY OF LOURDES MEMORIAL HOSPITAL INC

Doing Business As: LOURDES CENTER FOR ORAL HEALTH

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
219 FRONT ST
BINGHAMTON, NY
ZIP 13905
Phone: (607) 584-4545
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OUR LADY OF LOURDES MEMORIAL HOSPITAL INC is a dental clinic center in Binghamton, NY. OUR LADY OF LOURDES MEMORIAL HOSPITAL INC NPI is 1568663615. The provider is registered as an organization entity type.
The provider Is Doing Business As Lourdes Center For Oral Health.

The provider's business location address is:

219 FRONT ST
BINGHAMTON, NY
ZIP 13905-424
Phone: (607) 584-4545

The provider's authorized official is Christopher John Baron .
The authorized official title is Director Of Pfs and has the following contact phone number (607) 584-5459.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 5/29/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	0301001H	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0301001H	OTHER	NEW YORK	LICENSE NUMBER
2	00337664	MEDICAID	NEW 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

NPI Synchronization or Removal

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