Organization
OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
Active
Parent organization
OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
Other names
Lourdes Center for Mental Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
Authorized official
NATALIE ANN BROOKSMCMAHON (CREDENTIALING COORDINATOR)
(607) 584-5474
Entity
Organization
Contact information
Practice address
184 COURT ST, BINGHAMTON, NY 13901-3515
(607) 584-4465
Mailing address
169 RIVERSIDE DRIVE, CREDENTIALING DEPT @ LBC, BINGHAMTON, NY 13905
(607) 584-5474
(607) 584-5521
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
09/14/2021
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