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NPI Code Detail

MEDICARE: ST. JAMES MERCY HOSPITAL/SODEXO

MEDICARE: ST. JAMES MERCY HOSPITAL/SODEXO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital007281NY

General Provider Information

NPI Number : 1093159667
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. JAMES MERCY HOSPITAL/SODEXO
Provider Business Mailing Address
First Line : 1 BETHESDA DR
Second Line :
City : HORNELL
State : NY
Zip : 14843-1048
Country : US
Telephone Number : 607-324-6973
Fax Number :
Provider Business Practice Location Address
First Line : 1 BETHESDA DR
Second Line :
City : HORNELL
State : NY
Zip : 14843-1048
Country : US
Telephone Number : 607-324-6973
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF NUTRITION & ENVIRONMENT
Name : PEG WEBB
Credential :
Telephone Number : 607-324-8174
Provider Enumeration Date : 04/25/2013
Last Update Date : 04/25/2013

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Directions to “ST. JAMES MERCY HOSPITAL/SODEXO ” Practice Location

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