Healthcare Provider Details

I. General information

NPI: 1710187901
Provider Name (Legal Business Name): ORANGE REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 07/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 HARRIMAN DR
GOSHEN NY
10924-2410
US

IV. Provider business mailing address

4 HARRIMAN DRIVE, MA-3 BLDG ATTN: J. SCHILLER
GOSHEN NY
10924-2410
US

V. Phone/Fax

Practice location:
  • Phone: 845-294-5441
  • Fax:
Mailing address:
  • Phone: 845-294-5441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateNY

VIII. Authorized Official

Name: MITCHELL J AMADO
Title or Position: CFO
Credential:
Phone: 845-343-2424