John T. Mather Memorial Hospital

LBN: John T. Mather Memorial Hospital
John T. Mather Memorial Hospital is an health care organization with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2119. The organization recently has 3 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Hospitals / General Acute Care Hospital, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Hospitals / General Acute Care Hospital is the primary health care specialty. John T. Mather Memorial Hospital can be contacted via phone (631) 473-1320, or through Wisnoski, Joseph J. via phone (631) 476-2753.

Contact Information

Primary practice address
75 N Country Rd Port Jefferson NY 11777-2119
Phone: (631) 473-1320
Fax: (631) 686-1459
Website:
Map and Directions
Authorized official contact:
Name: Wisnoski, Joseph J.
Phone: (631) 476-2753

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 5149000 New York
Hospitals / General Acute Care Hospital 282N00000X 5149000 New York
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 5149000 New York

Profile Details

NPI number 1093718728
LBN Legal business name John T. Mather Memorial Hospital
DBA Doing business as
Authorized official Wisnoski, Joseph J.
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2005
Last updated Oct 6th, 2020 - about 4 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 1093718728 NPPES
Washington MEDICAID 100822
Washington MEDICAID 00274364
Washington MEDICAID 3300185
Washington MEDICAID HSP32196
Washington MEDICAID HSP42196
Washington MEDICAID 3044310
Washington MEDICAID 110851658
Washington MEDICAID 1206575
Washington MEDICAID 21920
Washington MEDICAID 6004504

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