Ira Davenport Memorial Hospital Pharmacy

LBN: Ira Davenport Memorial Hospital Inc
Ira Davenport Memorial Hospital Pharmacy is an health care organization with primary practice located at 7571 State Route 54 , Bath NY 14810-9504. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Ira Davenport Memorial Hospital Inc can be contacted via phone (607) 776-8500, or through Lawrence, Jonathan I. via phone (607) 776-8500.

Contact Information

Primary practice address
7571 State Route 54 Bath NY 14810-9504
Phone: (607) 776-8500
Fax: (607) 776-8817
Website:
Map and Directions
Authorized official contact:
Name: Lawrence, Jonathan I.
Phone: (607) 776-8500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X 014851 New York

Profile Details

NPI number 1659312080
LBN Legal business name Ira Davenport Memorial Hospital Inc
DBA Doing business as Ira Davenport Memorial Hospital Pharmacy
Authorized official Lawrence, Jonathan I.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 4th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659312080 NPPES
New York MEDICAID 00332816
New York MEDICAID 01151844
New York Other 2067348

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