Basic Information
| Provider Information | |||||||||
| NPI: | 1073866372 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AURELIA OSBORN FOX MEMORIAL HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 FOXCARE DR | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | ONEONTA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 138202099 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6074315305 | ||||||||
| FaxNumber: | 6074315970 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 NORTON AVE | ||||||||
| Address2: | |||||||||
| City: | ONEONTA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 138202629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6074315305 | ||||||||
| FaxNumber: | 6074315970 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/24/2012 | ||||||||
| LastUpdateDate: | 04/27/2015 | ||||||||
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| AuthorizedOfficialLastName: | HARRIS | ||||||||
| AuthorizedOfficialFirstName: | MARTHA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PHYSICAN BILLING COORDINATOR | ||||||||
| AuthorizedOfficialTelephone: | 6075473909 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM1300X | 150423 | NY | Y | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
No ID Information.