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Organization
OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
Active
Organization
OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
Active
Other names
Lourdes
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER J BARON (DIRECTOR OF PATIENT FINANCIAL SERVI)
(607) 584-5459
Entity
Organization
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 584-5459
(607) 584-5482
Mailing address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 584-5459
(607) 584-5482
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0301001H
NY
207R00000X
Internal Medicine Physician
0301001H
NY
207RP1001X
Pulmonary Disease Physician
0301001H
NY
207V00000X
Obstetrics & Gynecology Physician
0301001H
NY
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
0301001H
NY
213E00000X
Podiatrist
0301001H
NY
363A00000X
Physician Assistant
0301001H
NY
363L00000X
Nurse Practitioner
0301001H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00903631
—
NY
05
—
01591419
—
NY
Enumeration date
02/20/2007
Last updated
06/03/2008
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