Organization Active NPI

Memorial Behavioral Health

  • General Acute Care Hospital
  • York, PA
National Provider Identifier
1104811496
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MEMORIAL BEHAVIORAL HEALTH
Practice address
1420 6TH Ave
Suite 3
York, PA 17403-2620
Phone
(717) 849-5744
NPI assigned
Sep 13, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard Imbimbo
Title
Cfo
Phone
(717) 849-5327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

1420 6TH Ave
Suite 3
York, PA 17403-2620

Mailing address

1420 6TH Ave
Suite 3
York, PA 17403-2620
Phone (717) 849-5744

Other identifiers 1

IdentifierTypeStateIssuer
1699918OtherPAMEMORIAL BEHAVIORAL HLTH

National Provider Directory

National Provider Directory

Locations

1420 6th Ave
Ste 3
York, PA 17403
Phone (717) 255-6173

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104811496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 6TH AVE",
            "address_2": "SUITE 3",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032620",
            "telephone_number": "717-849-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 6TH AVE",
            "address_2": "SUITE 3",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032620",
            "telephone_number": "717-849-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IMBIMBO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "717-849-5327",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMORIAL BEHAVIORAL HLTH",
            "identifier": "1699918",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.