institution
Our Lady Of Lourdes Memorial Hospital, Inc
Community Based Hospice Care Agency in Vestal, New York
NPI 1336197714

Our Lady Of Lourdes Memorial Hospital, Inc is a Community Based Hospice Care Agency based in Vestal, NY. Our Lady Of Lourdes Memorial Hospital, Inc practices in Vestal, NY. The NPI Number for Our Lady Of Lourdes Memorial Hospital, Inc is 1336197714 and holds a License No. 0301501F (New York).

The current practice location address for Our Lady Of Lourdes Memorial Hospital, Inc is 4102 Old Vestal Rd, Vestal, NY and can be reached out via phone at 607-798-5692 and via fax at 607-352-1738.

Location: 4102 Old Vestal Rd, Vestal, NY, 13850-3531
institution
Provider Profile Details
NPI Number
1336197714
Provider Name
Our Lady Of Lourdes Memorial Hospital, Inc
Credential
Provider Entity Type
Organization
Address
4102 Old Vestal Rd, Vestal, NY, 13850-3531
Phone Number
607-798-5692
Fax Number
607-352-1738
Provider Enumeration Date
05/05/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
2105209 01 AETNA PROVIDER NUMBER
3300115 01 NY EMPIRE BC/BS PROVIDER NUM
955775 05 NY
331505 01 NY BC/BS OF CENTRAL NY
528113 01 NY MVP PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
4102 Old Vestal Rd
City
State
Zip
13850-3531
Phone Number
607-798-5692
Fax Number
607-352-1738
person
Provider Business Mailing Address Details
Address
4102 Old Vestal Rd
City
State
Zip
13850-3531
Phone Number
607-798-5692
Fax Number
607-352-1738
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
License No.
0301501F (New York)
Definition
Definition to come...
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