NPIMap

Organization Active NPI

York Hospital

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • York, ME
National Provider Identifier
1962985788
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
38764 Issued in ME
Legal business name
YORK HOSPITAL
Practice address
127 Long Sands Rd Ste 12
York, ME 03909-1159
Phone
(207) 337-7333
Fax
(207) 361-7327
NPI assigned
Sep 7, 2018
Organization subpart
Yes
Parent organization
YORK HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Authorized official

Name
Suzanne M Holliday
Title
Provider Enrollment
Phone
(207) 351-2478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X 38764 ME Primary

Addresses

Primary practice location

127 Long Sands Rd Ste 12
York, ME 03909-1159

Mailing address

15 Hospital Dr
York, ME 03909-1099
Phone (207) 351-2478

Other practice location 1

15 Hospital Dr
York, ME 03909-1099
Phone (207) 351-7333

Other names 1

  • YORK HOSPITAL HOSPICE Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D0883382York Hospital Oncology Services127 Long Sands Road, York, ME 03909ComplianceMay 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
York Hospital Skilled Nursing Facility35 organizations share this tax ID, including this one
Part of
York Hospital Skilled Nursing Facility

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1962985788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091099",
            "telephone_number": "207-351-2478",
            "fax_number": "207-351-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LONG SANDS RD STE 12",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091159",
            "telephone_number": "207-337-7333",
            "fax_number": "207-361-7327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "ME",
            "postal_code": "039091099",
            "country_code": "US",
            "telephone_number": "207-351-7333",
            "fax_number": "207-351-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YORK HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YORK HOSPITAL",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "207-351-2478"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "ME",
            "license": "38764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YORK HOSPITAL HOSPICE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "YORK HOSPITAL HOSPICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in York, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.