Organization
OUR LADY OF LOURDES MEMORIAL HOSPITAL
Active
Parent organization
ASCENSION HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION HEALTH SERVICES
Authorized official
DAVID PATAK (PRESIDENT/CEO)
(607) 798-5328
Entity
Organization
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5434
Mailing address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1303303
NY
Other
Enumeration date
07/12/2013
Last updated
08/15/2013
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