Healthcare Provider Details

I. General information

NPI: 1821266321
Provider Name (Legal Business Name): UNITED HEALTH SERVICES HOSPITALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2008
Last Update Date: 06/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10-42 MITCHELL AVE
BINGHAMTON NY
13903-1617
US

IV. Provider business mailing address

33 LEWIS RD
BINGHAMTON NY
13905-1048
US

V. Phone/Fax

Practice location:
  • Phone: 607-770-0025
  • Fax: 607-729-3982
Mailing address:
  • Phone: 607-770-0025
  • Fax: 607-729-3982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN K O'BRIEN
Title or Position: DIRECTOR THIRD PARTY REIMBURSEMENT
Credential:
Phone: 607-762-3078