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Organization
BON SECOURS COMMUNITY HOSPITAL
Active
Organization
BON SECOURS COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO DIFIGLIA FHFMA (VICE PRESIDENT)
(914) 493-7909
Entity
Organization
Contact information
Practice address
160 E MAIN ST, PORT JERVIS, NY 12771-2253
(845) 858-7000
(845) 858-7415
Mailing address
160 E MAIN ST, PORT JERVIS, NY 12771-2253
(845) 858-7000
(845) 858-7415
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000043822
GHI HMO
NY
01
—
000000084602
THREE RIVERS
NY
01
—
000155
BLUE CROSS
NY
01
—
0004836000
AMERIHEALTH
NY
05
—
00273905
—
NY
05
—
1007778760003
—
NY
05
—
4154304
—
NY
01
—
4569
WELLCARE
NY
01
—
5000031
UNITED HEALTHCARE COMPLET
NY
01
—
811968
FIRST PRIORITY HEALTH
NY
01
—
928114
MVP
NY
01
—
H384535
OXFORD
NY
01
—
IC0507
HEALTHNET
NY
01
—
IC508
PHS
NY
01
—
US HEALTCARE
0012335
NY
Enumeration date
10/20/2005
Last updated
03/27/2025
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