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IRA DAVENPORT MEMORIAL HOSPITAL INC

Long Term Care Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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Contact Information

IRA DAVENPORT MEMORIAL HOSPITAL INC
7571 STATE ROUTE 54
BATH, NY  14810-9504
 Phone: 607-776-8500
 Fax: 607-776-8817
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

 3336L0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

 3336C0002X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

 3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

 333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for IRA DAVENPORT MEMORIAL HOSPITAL INC

NPI # 1659312080
LBN Legal business name IRA DAVENPORT MEMORIAL HOSPITAL INC
Authorized official JONATHAN LAWRENCE - (PRESIDENT & CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2006
Last updated 03/04/2019 - About 7 years ago
Identifiers
NY License # 014851
NY Medicaid 00332816
NY Medicaid 01151844
Other 2067348 PK
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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