Provider Demographics
NPI:1104161124
Name:ST. CATHERINE OF ALEXANDRIA FOUNDATION & MEDICAL CENTER
Entity type:Organization
Organization Name:ST. CATHERINE OF ALEXANDRIA FOUNDATION & MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RONA
Authorized Official - Middle Name:RONQUILLO
Authorized Official - Last Name:BOGNOT
Authorized Official - Suffix:
Authorized Official - Credentials:COLLEGE GRADUATE
Authorized Official - Phone:045-888-7209
Mailing Address - Street 1:4163 RIZAL STREET EXTENSION
Mailing Address - Street 2:
Mailing Address - City:ANGELES
Mailing Address - State:PAMPANGA
Mailing Address - Zip Code:2009
Mailing Address - Country:PH
Mailing Address - Phone:045-888-7209
Mailing Address - Fax:045-322-2941
Practice Address - Street 1:4163 RIZAL STREET EXTENSION
Practice Address - Street 2:
Practice Address - City:ANGELES
Practice Address - State:PAMPANGA
Practice Address - Zip Code:2009
Practice Address - Country:PH
Practice Address - Phone:045-888-7209
Practice Address - Fax:045-322-2941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ282N00000X282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital