Basic Information
| Provider Information | |||||||||
| NPI: | 1861479578 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | YORK HOSPITAL SKILLED NURSING FACILITY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | ME | ||||||||
| PostalCode: | 039091011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2073634321 | ||||||||
| FaxNumber: | 2073633858 | ||||||||
| Practice Location | |||||||||
| Address1: | 15 HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | ME | ||||||||
| PostalCode: | 039091011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2073634321 | ||||||||
| FaxNumber: | 2073633858 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/23/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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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 | 314000000X | 36286 | ME | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
ID Information
| ID | Type | State | Issuer | Description | 200020 | 01 | BCNH ANESTHESIA | OTHER | 99200020 | 05 | NH | MEDICAID | M10500 | 01 | CIGNA HEALTHSOURCE NH | OTHER | 200020 | 01 | BCNH IP AND OP | OTHER | 200020 | 01 | BCNH ER | OTHER | IYOK200020 | 01 | MATTHEW THORNTON BLUE | OTHER | M10500 | 01 | CIGNA HEALTHSOURCE | OTHER | 900273 | 01 | HARVARD PILGRIM | OTHER | 800373 | 01 | BCNH CARDIAC | OTHER | 200020 | 01 | MATTHEW THORNTON HMO | OTHER | 921444 | 01 | CONNECTICARE | OTHER | 10022603 | 01 | CAPITAL DISTRICT PHYSICIA | OTHER | 200020 | 01 | BCNH ONCOLOGY | OTHER | 62463 | 01 | AETNA | OTHER | E000211 | 01 | TRICARE | OTHER | 200020000054 | 01 | BCME BCMA | OTHER |