National Provider Identifier
Ira Davenport Hospital
Ira Davenport Hospital is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Bath, NY and a listed phone number of (607) 776-8500.
Source: public NPPES record, last updated August 22, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1669593117
- Provider Type
- Organization
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 03, 2007
- Last Updated
- August 22, 2020
Practice Location
- 7571 State Route 54
- Bath, NY 14810-9504
Phone: (607) 776-8500
Authorized Official
- Name
- James Smith
- Title
- Cfo
- Phone
- (607) 776-8508
Specialties
- Internal Medicine Physician (207R00000X)
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Full Record
- NPI
- 1669593117
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Ira Davenport Hospital
- Mailing Street Address
- 7571 State Route 54
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-9504
- Mailing Country
- US
- Mailing Phone
- (607) 776-8500
- Mailing Fax
- (607) 776-8800
- Practice Street Address
- 7571 State Route 54
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-9504
- Practice Country
- US
- Practice Phone
- (607) 776-8500
- Practice Fax
- (607) 776-8800
- Enumeration Date
- April 03, 2007
- Last Updated
- August 22, 2020
- Authorized Official Last Name
- Smith
- Authorized Official First Name
- James
- Authorized Official Title
- Cfo
- Authorized Official Phone
- (607) 776-8508
- Organization Subpart
- No
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 160835PCC (NY, Primary Care Clinic)