Organization
OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC
Active
Other names
Hospice At Lourdes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN REGAN (SR VP & CFO)
(607) 798-5271
Entity
Organization
Contact information
Practice address
4102 OLD VESTAL RD, VESTAL, NY 13850-3531
(607) 798-5692
(607) 352-1738
Mailing address
4102 OLD VESTAL RD, VESTAL, NY 13850-3531
(607) 798-5692
(607) 352-1738
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0301501F
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2105209
AETNA PROVIDER NUMBER
—
01
—
3300115
EMPIRE BC/BS PROVIDER NUM
NY
01
—
331505
BC/BS OF CENTRAL NY
NY
01
—
528113
MVP PROVIDER NUMBER
NY
05
—
955775
—
NY
Enumeration date
05/05/2006
Last updated
08/22/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us