Hospice At Lourdes

LBN: Our Lady Of Lourdes Memorial Hospital, Inc
Hospice At Lourdes is an health care organization with primary practice located at 4102 Old Vestal Rd , Vestal NY 13850-3531. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Our Lady Of Lourdes Memorial Hospital, Inc can be contacted via phone (607) 798-5692, or through Regan, Brian via phone (607) 798-5271.

Contact Information

Primary practice address
4102 Old Vestal Rd Vestal NY 13850-3531
Fax: (607) 352-1738
Website:
Authorized official contact:
Name: Regan, Brian

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 0301501F New York

Profile Details

NPI number 1336197714
LBN Legal business name Our Lady Of Lourdes Memorial Hospital, Inc
DBA Doing business as Hospice At Lourdes
Authorized official Regan, Brian
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2006
Last updated Aug 22nd, 2007 - about 17 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 1336197714 NPPES
Other 2105209 AETNA PROVIDER NUMBER
Other 3300115 AETNA PROVIDER NUMBER
MEDICAID 955775 AETNA PROVIDER NUMBER
Other 331505 AETNA PROVIDER NUMBER
Other 528113 AETNA PROVIDER NUMBER

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