Healthcare Provider Details

I. General information

NPI: 1417310137
Provider Name (Legal Business Name): SHAARE ZEDEK MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2016
Last Update Date: 03/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

P O B 3235
JERUSALEM ISRAEL
9103102
IL

IV. Provider business mailing address

12 SHMUEL BAIT
JERUSALEM JERUSALEM
9103102
IL

V. Phone/Fax

Practice location:
  • Phone: 97226555111
  • Fax: 97226555312
Mailing address:
  • Phone: 97226555111
  • Fax: 97226555312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. CHAYIM SUTER
Title or Position: CHIEF BOOKKEEPER
Credential:
Phone: 97226666318