Organization · Type 2 NPI

Ira Davenport Memorial Hospital

Critical Access Hospital · Bath, NY

NPI number 1972835957 Active

Practice location

7571 State Route 54
Bath, NY 14810-9504

Fax (607) 776-8817

Specialties and licenses

Taxonomy	Code	License
Critical Access Hospital Primary	282NC0060X	290044 (NY)

Critical Access Hospital: Definition to come.

35 other providers at this address

NPI record

NPI: 1972835957
Entity type: Organization (Type 2)
Issued: Feb 2, 2010
Last updated: Apr 1, 2019
Status: Active

Other names

<unavail>
Davenport and Taylor · other name
Davenport and Taylor · other name

Authorized official

Mr. Jonathan I. Lawrence
President & Chief Executive Officer
(607) 737-4100

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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 1972835957

Ira Davenport Memorial Hospital's National Provider Identifier is 1972835957, issued on Feb 2, 2010. The primary taxonomy on file is Critical Access Hospital (282NC0060X), and the practice location is in Bath, NY. The record was last updated on Apr 1, 2019.