Organization
IRA DAVENPORT MEMORIAL HOSPITAL
Active
Other names
Davenport and Taylor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN I. LAWRENCE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(607) 737-4100
Entity
Organization
Contact information
Practice address
7571 STATE ROUTE 54, BATH, NY 14810-9504
(607) 776-8564
(607) 776-8817
Mailing address
7571 STATE ROUTE 54, BATH, NY 14810-9504
(607) 776-8564
(607) 776-8817
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
290044
NY
Other
Enumeration date
02/02/2010
Last updated
04/01/2019
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