Organization
BON SECOURS COMMUNITY HOSPITAL
Active
Parent organization
BON SECOURS COMMUNITY HOSPITAL
Other names
St. Joseph's Place
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS COMMUNITY HOSPITAL
Authorized official
MR. MARIO DIFIGLIA (VICE PRESIDENT)
(914) 493-7909
Entity
Organization
Contact information
Practice address
160 E MAIN ST, PORT JERVIS, NY 12771-2114
(845) 858-7000
(845) 858-7415
Mailing address
160 E MAIN ST, PORT JERVIS, NY 12771-2114
(845) 858-7000
(845) 858-7415
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000155
BLUE CROSS INTER PLAN
NY
05
—
01073385
—
NY
Enumeration date
10/20/2006
Last updated
03/27/2025
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