Healthcare Provider Details

I. General information

NPI: 1427416809
Provider Name (Legal Business Name): ESPANOLA GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2016
Last Update Date: 02/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 MCKINNON DR
ESPANOLA ONTARIO
P5E 1R4
CA

IV. Provider business mailing address

825 MCKINNON DR
ESPANOLA ONTARIO
P5E 1R4
CA

V. Phone/Fax

Practice location:
  • Phone: 705-869-2608
  • Fax: 705-869-2608
Mailing address:
  • Phone: 705-869-2608
  • Fax: 705-869-2608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. KIM RENAUD
Title or Position: FINANCE CLERK
Credential:
Phone: 705-869-2608