| Organization Name: | SOUTHAMPTON HOSPITAL ASSOCIATION |
| NPI Number: | 1295899086 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER J. SCHULTHEIS (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 80 Old Riverhead Rd Westhampton Beach |
| State: | NY US |
| Postal Code: | 119781401 |
| Phone Number: | 6312887746 |
| Fax Number: | 6312887111 |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 01/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | PFI #5757 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |