Organization
SOUTHAMPTON HOSPITAL
Active
Parent organization
SOUTHAMPTON HOSPITAL
Other names
Sports Rehab WH
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHAMPTON HOSPITAL
Authorized official
LAUREN ELIZABETH STOEBE P.T./D.P.T. (PHYSICAL THERAPIST)
(631) 726-8514
Entity
Organization
Contact information
Practice address
74 OLD RIVERHEAD RD, WESTHAMPTON BEACH, NY 11978-1401
(631) 288-7767
Mailing address
PO BOX 1613, SOUTHAMPTON, NY 11969-1613
(631) 726-8514
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
0344081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000105
EMPIRE
NY
05
—
00274406
—
NY
01
—
12755
AETNA
NY
01
—
32501
CIGNA ORTHONET
NY
01
—
3C4913
HEALTHNET
NY
01
—
58418
VYTRA
NY
01
—
6697979
GHI
NY
01
—
F0105
HIP
NY
01
—
H04447
OXFORD
NY
01
—
NY0346
HEALTH ORTHONET
NY
Enumeration date
12/08/2011
Last updated
06/20/2018
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