JOHN T MATHER MEMORIAL HOSPITAL; NPI #1659177509

Contact Information

JOHN T MATHER MEMORIAL HOSPITAL

75 N COUNTRY RD FL 2
PORT JEFFERSON, NY 11777-2119

Phone: 516-256-6688
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for JOHN T MATHER MEMORIAL HOSPITAL

NPI Number	`1659177509`
LBN Legal business name	JOHN T MATHER MEMORIAL HOSPITAL
Authorized official	MICHELE CUSACK - (EVP & CFO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/21/2025
Last updated	02/21/2025 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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