Basic Information
| Provider Information | |||||||||
| NPI: | 1194070201 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | YORK HOSPITAL | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | MYHEALTH@KITTERY | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | ME | ||||||||
| PostalCode: | 039091011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2073512391 | ||||||||
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| Practice Location | |||||||||
| Address1: | 35 WALKER ST | ||||||||
| Address2: | |||||||||
| City: | KITTERY | ||||||||
| State: | ME | ||||||||
| PostalCode: | 039041727 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2074394430 | ||||||||
| FaxNumber: | 2074390968 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2012 | ||||||||
| LastUpdateDate: | 07/16/2012 | ||||||||
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| AuthorizedOfficialLastName: | LABONTE | ||||||||
| AuthorizedOfficialFirstName: | ROBIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 2073512391 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QU0200X | 37637 | ME | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.