Organization · Type 2 NPI

Our Lady of Lourdes Memorial Hospital, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) · Binghamton, NY

NPI number 1649947649 Active

Practice location

184 Court St
Binghamton, NY 13901-3515

Call (607) 584-4465 Map

Mailing address

169 Riverside Drive, Credentialing Dept @ Lbc
Binghamton, NY 13905

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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NPI record

NPI: 1649947649
Entity type: Organization (Type 2)
Issued: Aug 26, 2021
Last updated: Sep 14, 2021
Status: Active
Subpart: Yes of Our Lady of Lourdes Memorial Hospital, Inc.

Other names

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Lourdes Center for Mental Health · doing business as
Lourdes Center for Mental Health · doing business as

Authorized official

Natalie Ann Brooksmcmahon
Credentialing Coordinator
(607) 584-5474

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649947649

Our Lady of Lourdes Memorial Hospital, Inc.'s National Provider Identifier is 1649947649, issued on Aug 26, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Binghamton, NY. The record was last updated on Sep 14, 2021.