Basic Information
| Provider Information | |||||||||
| NPI: | 1184682528 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | LOWER BUCKS HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 BATH RD | ||||||||
| Address2: | |||||||||
| City: | BRISTOL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190073101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157859200 | ||||||||
| FaxNumber: | 2157859039 | ||||||||
| Practice Location | |||||||||
| Address1: | 501 BATH RD | ||||||||
| Address2: | |||||||||
| City: | BRISTOL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190073101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157859200 | ||||||||
| FaxNumber: | 2157859039 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2006 | ||||||||
| LastUpdateDate: | 03/01/2012 | ||||||||
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| AuthorizedOfficialLastName: | OLIVIERI | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 2157859325 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 703205 | PA | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | 0007590000 | 01 | PA | BLUE CROSS | OTHER | H04551 | 01 | PA | OXFORD COMMERCIAL | OTHER | 100745380 0009 | 05 | PA | MEDICAID | 60431 | 01 | PA | KEYSTONE MERCY | OTHER | 1037801 | 01 | PA | AETNA | OTHER | 01662136-02 | 01 | PA | AMERICHOICE | OTHER | 25602 | 01 | PA | HEALTHPARTNERS | OTHER |