# IHS SHINNECOCK SERVICE UNIT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699282301
- **Authorized official:** ANTHONY HUNTER (HEALTH SYSTEM ADMIN/CEO)
- **Authorized official phone:** (631) 283-1446

## Contact information

- **Practice address:** 101 CHURCH STREET, LL, SOUTHAMPTON, NY 11968
- **Practice address phone:** (631) 283-1446
- **Practice address fax:** (631) 283-1448
- **Mailing address:** PO BOX 5081, SOUTHAMPTON, NY 11969-5081
- **Mailing address phone:** (631) 283-1446
- **Mailing address fax:** (631) 283-1448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2018
- **Last updated:** 01/03/2018