PECONIC BAY MEDICAL CENTER NPI 1760769624

NPI Information

NPI: 1760769624
Provider Name: PECONIC BAY MEDICAL CENTER
Classification: General Acute Care Hospital - 282NR1301X
Entity Type: Organization

Specialization: Rural

CLIA Number: 33D0008773

Address:
1300 ROANOKE AVE
RIVERHEAD, NY
ZIP 11901
Phone: (631) 548-6446
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PECONIC BAY MEDICAL CENTER is a rural general acute care hospital in Riverhead, NY. PECONIC BAY MEDICAL CENTER NPI is 1760769624. The provider is registered as an organization entity type.

The provider's business location address is:

1300 ROANOKE AVE
RIVERHEAD, NY
ZIP 11901
Phone: (631) 548-6446

The provider's authorized official is George Ruggiero .
The authorized official title is Dme and has the following contact phone number (631) 548-6446.

The CLIA number assigned to this NPI record is 33D0008773 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/7/2011 and was last updated on 11/7/2011.

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	282NR1301X	General Acute Care Hospital	Rural			Yes

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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