Provider Demographics
NPI:1316934219
Name:NORTHHAMPTON HOSPITAL CORPORATION
Entity type:Organization
Organization Name:NORTHHAMPTON HOSPITAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GROUP VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLESPIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-309-5400
Mailing Address - Street 1:3421 NIGHTINGALE DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-8013
Mailing Address - Country:US
Mailing Address - Phone:484-536-1300
Mailing Address - Fax:610-258-5178
Practice Address - Street 1:3421 NIGHTINGALE DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8013
Practice Address - Country:US
Practice Address - Phone:484-536-1300
Practice Address - Fax:610-258-5178
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHAMPTON HOSPITAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-10-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA391563Medicare Oscar/Certification