Provider Demographics
NPI:1124233788
Name:UNITED HEALTH SERVICES HOSPITALS, INC
Entity type:Organization
Organization Name:UNITED HEALTH SERVICES HOSPITALS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, THIRD PARTY REIMBURSEMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KEARNEY O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-762-3078
Mailing Address - Street 1:10-42 MITCHELL AVE
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13903-1617
Mailing Address - Country:US
Mailing Address - Phone:607-762-3006
Mailing Address - Fax:607-762-2065
Practice Address - Street 1:10-42 MITCHELL AVE
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13903-1617
Practice Address - Country:US
Practice Address - Phone:607-762-3027
Practice Address - Fax:607-762-2065
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED HEALTH SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-14
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No273R00000XHospital UnitsPsychiatric Unit
No273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1678AOtherMVP - PSYCH MD
NY33V394OtherEXCELLUS - ARU
NY1678BOtherMVP - PSYCH SOC WORKER
NY44567OtherAETNA - NON HMO
NY5709OtherGHI - NON COMMERCIAL
NY33Z394OtherEXCELLUS - BIU