Ira Davenport Memorial Hospital, Inc.

NPI #1215021225 in Bath, New York

Provider Information

NPI Number
1215021225
Entity Type
Organization
Organization Name
Ira Davenport Memorial Hospital, Inc.
Primary Specialty
Medicare Defined Swing Bed Unit
Enumeration Date
Oct 3, 2006
Last Updated
Mar 4, 2019

Practice Location

Address
7571 STATE ROUTE 54
City
Bath
ZIP Code
14810-9504
Phone
(607) 776-8500

Authorized Official

Name
MR. JONATHAN I. LAWRENCE
Title
PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone
(607) 776-8500

Specialties & Taxonomy Codes

Specialty
Medicare Defined Swing Bed Unit

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