LOURDES HOSPITAL (NPI# 1386050417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386050417 |
| Entity Type | Organization |
| Organization Name | LOURDES HOSPITAL |
| Practice Address |
169 Riverside Dr Binghamton NY 13905-4246 |
| Mailing Address |
169 Riverside Drive Binghamton NY 13905-1443 |
| Practice Telephone | 6077990115 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2015-02-03 |
| Authorized Official Name | DR. JUNGMIN YOO (PODIATRIC SURGEON) |
| Authorized Official Telephone | 6077990115 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | R93320 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679901714 | Lourdes Hospital | Skilled Nursing Facility | 1496 Randolph Rd, Great Bend, PA 18821-9516 | 2013-10-29 |
| 1780013318 | Lourdes Hospital | Respite Care | 1496 Randolph Rd, Great Bend, PA 18821-9516 | 2013-11-04 |
| 1316252695 | Lourdes Hospital | General Acute Care Hospital | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2010-08-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOURDES HOSPITAL | 1530 Lone Oak Rd, Paducah, KY 42003-7901 |
| Washington State Corporations | LOURDES HOSPITAL, LLC | 330 Seven Springs Way, Brentwood, TN 37027 |
| Street Address |
169 RIVERSIDE DR |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13905-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253446 | Advanced Radiology Services, Pllc | Radiology | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2005-08-25 |
| 1639777451 | Ceirra Robin Tennant | Nurse Practitioner | 169 Riverside Dr, Binghamton, NY 13905-4198 | 2020-10-14 |
| 1427674555 | Emily Elizabeth Krol | Physician Assistant | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-06-24 |
| 1184240889 | Debra Iwanow | Specialist/Technologist | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-06-18 |
| 1124642921 | Daniel Fitzpatrick | Registered Nurse | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-06-08 |
| 1255955100 | Robin Underwood | Registered Nurse | 169 Riverside Dr, Binghamton, NY 13905-4198 | 2020-06-05 |
| 1447872817 | Kelly Ann Yale-suda | Registered Nurse | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-05-08 |
| 1548880917 | Mahdi Shafiq | Student in an Organized Health Care Education/Training Program | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-04-25 |
| 1669092672 | Thien-duy Brandon Tran | Student in an Organized Health Care Education/Training Program | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-04-20 |
| 1164042313 | Benjamin Levi Kaplan | Student in an Organized Health Care Education/Training Program | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
| 1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
| 1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
| 1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
| 1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
| 1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
| 1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
| 1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
| 1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
| 1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
| Find all providers in zip 13905 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518003300 | United Health Services Hospitals, Inc. | General Acute Care Hospital | 20-42 Mitchell Avenue, Binghamton, NY 13903 | 2007-01-29 |
| 1114959327 | United Health Services Hospitals, Inc. | General Acute Care Hospital | 20 Mitchell Ave, Binghamton, NY 13903 | 2006-07-07 |
| 1487024840 | Our Lady of Lourdes Hospital | General Acute Care Hospital | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2015-09-29 |
| 1821266321 | United Health Services Hospitals, Inc. | General Acute Care Hospital | 10-42 Mitchell Ave, Binghamton, NY 13903-1617 | 2008-02-19 |
| 1699976613 | United Health Services Hospitals, Inc. | General Acute Care Hospital | 20 Mitchell Ave, Binghamton, NY 13903 | 2007-05-29 |
| 1851416721 | United Health Services Hpsoitals, Inc | General Acute Care Hospital | 20 Mitchell Ave, Binghamton, NY 13903 | 2007-03-20 |
| 1629087580 | Our Lady of Lourdes Memorial Hospital Inc. | General Acute Care Hospital | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2006-08-07 |
| 1134151343 | United Health Services Hospitals, Inc. | General Acute Care Hospital | 10-42 Mitchell Ave, Binghamton, NY 13903-1617 | 2006-07-07 |
| 1023040235 | United Health Services Hospitals, Inc | General Acute Care Hospital | 10-42 Mitchell Ave, Binghamton, NY 13903-1617 | 2006-07-07 |
| 1932131141 | United Health Services Hospitals, Inc | General Acute Care Hospital | 10-42 Mitchell Ave, Binghamton, NY 13903-1617 | 2006-07-07 |
| Find all providers in BINGHAMTON | ||||
| City | BINGHAMTON |
| Zip Code | 13905 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.