Healthcare Provider Details
I. General information
NPI: 1669444899
Provider Name (Legal Business Name): NORTHAMPTON HOSPITAL COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/02/2006
Last Update Date: 01/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
250 S 21ST ST
EASTON PA
18042-3851
US
IV. Provider business mailing address
PO BOX 503786
SAINT LOUIS MO
63150-3786
US
V. Phone/Fax
- Phone: 610-250-4000
- Fax: 610-250-4078
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 273Y00000X |
| Taxonomy | Rehabilitation Hospital Unit |
| License Number | 310401 |
| License Number State | PA |
VIII. Authorized Official
Name:
LAURIE
HOLTSFORD
Title or Position: DIRECTOR BUSINESS SUPPORT
Credential:
Phone: 615-465-7466