Healthcare Provider Details

I. General information

NPI: 1194070201
Provider Name (Legal Business Name): YORK HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2012
Last Update Date: 07/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 WALKER ST
KITTERY ME
03904-1727
US

IV. Provider business mailing address

15 HOSPITAL DR
YORK ME
03909-1011
US

V. Phone/Fax

Practice location:
  • Phone: 207-439-4430
  • Fax: 207-439-0968
Mailing address:
  • Phone: 207-351-2391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number37637
License Number StateME

VIII. Authorized Official

Name: ROBIN LABONTE
Title or Position: CFO
Credential:
Phone: 207-351-2391