Organization Name: | BRADFORD REGIONAL MEDICAL CENTER |
NPI Number: | 1588663777 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY J FINAN (PRESIDENT/CEO) |
Mailing Address: | 1223 E Main St Bradford |
State: | PA US |
Postal Code: | 167013223 |
Phone Number: | 8143627466 |
Fax Number: | 8143624306 |
NPI Enumeration Date: | 07/19/2005 |
NPI Last Update Date: | 10/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 151099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |