Healthcare Provider Details
I. General information
NPI: 1750553137
Provider Name (Legal Business Name): YORK ONCOLOGY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/26/2008
Last Update Date: 03/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
127 LONG SANDS RD STE 9
YORK ME
03909-1099
US
IV. Provider business mailing address
15 HOSPITAL DR
YORK ME
03909-1099
US
V. Phone/Fax
- Phone: 207-351-3777
- Fax: 207-351-3788
- Phone: 207-351-2398
- Fax: 207-351-2411
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MS.
ROBIN
LABONTE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 207-351-2391