Organization
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC.
Active
Other names
Lourdes
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN SANNE (AVP REVENUE SERVICES)
(607) 584-5492
Entity
Organization
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5111
(607) 798-6730
Mailing address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5111
(607) 798-6730
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0301001H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00337664
—
NY
01
—
0301001H
STATE LICENSE
NY
Enumeration date
08/07/2006
Last updated
09/01/2015
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