OUR LADY OF LOURDES MEMORIAL HOSPITAL INC (NPI# 1568663615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568663615 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
| Other Organization Name | LOURDES CENTER FOR ORAL HEALTH |
| Practice Address |
219 Front St Binghamton NY 13905-2424 |
| Mailing Address |
169 Riverside Dr Binghamton NY 13905-4246 |
| Practice Telephone | 6075844545 |
| Mailing Telephone | 6075845459 |
| Mailing Fax Number | 6075845482 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | MR. CHRISTOPHER JOHN BARON (DIRECTOR OF PFS) |
| Authorized Official Telephone | 6075845459 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
0301001H | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00337664 | 05 | |
| NY | LICENSE NUMBER | 0301001H | 01 |
| Other Name | Type Code |
|---|---|
| Lourdes Center for Oral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077069 | Our Lady of Lourdes Memorial Hospital Inc | Pharmacy | 17 Chenango Bridge Rd, Binghamton, NY 13901-1233 | 2019-11-15 |
| 1124141981 | Our Lady of Lourdes Memorial Hospital Inc | Home Health | 4102 Vestal Rd, Vestal, NY 13850-3531 | 2007-04-09 |
| Street Address |
219 FRONT ST |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13905-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194896837 | Matthew Roma | Dentist | 219 Front St, Binghamton, NY 13905-2424 | 2006-11-13 |
| 1083957930 | Sana Ahmed | Dentist | 219 Front St, Binghamton, NY 13905-2455 | 2013-03-28 |
| 1851523849 | Ryan M Olbrys | Dentist | 219 Front St, Binghamton, NY 13905-2455 | 2009-08-10 |
| 1417155185 | Hee Y Rhee | Dentist | 219 Front St, Binghamton, NY 13905-2455 | 2007-07-04 |
| 1689708984 | Jadilia Ddas | Dentist | 219 Front St, Binghamton, NY 13905 | 2007-03-16 |
| 1801943337 | Palak Patel | Dentist | 219 Front St, Binghamton, NY 13905-2424 | 2007-01-05 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760677637 | Robert J Hogan,dds,pc | Clinic/Center | 123 Murray St, Binghamton, NY 13905-3005 | 2007-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380246 | Charles R Hoeg Dmd PC | Clinic/Center | 45 Route 25a Ste A1, Shoreham, NY 11786-1389 | 2020-09-10 |
| 1801409016 | Daniel Babadzhanov Dmd Pllc | Clinic/Center | 7025 Yellowstone Blvd Ste 1o, Forest Hills, NY 11375-3165 | 2020-08-26 |
| 1417567611 | Hudson River Dental | Clinic/Center | 1 Baltic Pl Ste 104, Croton On Hudson, NY 10520-1642 | 2020-08-03 |
| 1316556897 | Bridget E. Sweeney, Dds, Pllc | Clinic/Center | 6043 Transit Road, Suite 102, Clarence, NY 14031 | 2020-07-30 |
| 1679182919 | Avalon Dental, PC | Clinic/Center | 20103 Northern Blvd Fl 1, Flushing, NY 11361-2563 | 2020-07-22 |
| 1104442706 | Igor Dekhkanov Dds PC | Clinic/Center | 438 Graham Ave Fl 1, Brooklyn, NY 11211-1415 | 2020-06-19 |
| 1245852334 | Walter G Neuhaus Dds PC | Clinic/Center | 2825 Niagara Falls Blvd Ste 170, Amherst, NY 14228-2000 | 2020-05-12 |
| 1487274445 | Rock A Smile Dental Studio Pllc | Clinic/Center | 9708 Rockaway Blvd, Ozone Park, NY 11417-1615 | 2020-04-20 |
| 1033738414 | Samina Haque Dmd Pllc | Clinic/Center | 25012 Hillside Ave Ste A, Bellerose, NY 11426-2139 | 2020-04-15 |
| 1366077844 | New York Dental Care, Pllc | Clinic/Center | 124 E 40th St Rm 302, New York, NY 10016-1723 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
| City | BINGHAMTON |
| Zip Code | 13905 |
Please comment or provide details below to improve the information on OUR LADY OF LOURDES MEMORIAL HOSPITAL INC.
| 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.