Healthcare Provider Details

I. General information

NPI: 1902889215
Provider Name (Legal Business Name): AUBURN COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 08/05/2021
Certification Date: 08/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PARK AVE
AUBURN NY
13021
US

IV. Provider business mailing address

20 PARK AVE
AUBURN NY
13021
US

V. Phone/Fax

Practice location:
  • Phone: 315-255-7209
  • Fax:
Mailing address:
  • Phone: 315-255-7209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0501000N
License Number StateNY

VIII. Authorized Official

Name: JASON LESCH
Title or Position: CFO
Credential:
Phone: 315-255-7011