Organization
IRA DAVENPORT MEMORIAL HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN I. LAWRENCE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(607) 776-8500
Entity
Organization
Contact information
Practice address
7571 STATE ROUTE 54, BATH, NY 14810-9504
(607) 776-8500
(607) 776-8800
Mailing address
7571 STATE ROUTE 54, BATH, NY 14810
(607) 776-8500
(607) 776-8800
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
09/12/2023
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