| John T. Mather Memorial Hospital | |
|
75 N Country Rd Port Jefferson NY 11777-2119 | |
| (631) 473-1320 | |
| (631) 686-1459 |
| Full Name | John T. Mather Memorial Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 75 N Country Rd, Port Jefferson, New York |
| Authorized Official Name and Position | Joseph J. Wisnoski (VP-FINANCE) |
| Authorized Official Contact | 6314762753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John T. Mather Memorial Hospital 75 N Country Rd Port Jefferson NY 11777-2190 Ph: (631) 473-1320 | John T. Mather Memorial Hospital 75 N Country Rd Port Jefferson NY 11777-2119 Ph: (631) 473-1320 |
| NPI Number | 1093718728 |
|---|---|
| Provider Enumeration Date | 05/27/2005 |
| Last Update Date | 10/06/2020 |
| Certification Date | 10/06/2020 |
| Medicare PECOS PAC ID | 1254237753 |
|---|---|
| Medicare Enrollment ID | O20081202000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093718728 | NPI | - | NPPES |
| 100822 | Medicaid | WA | |
| 00274364 | Medicaid | NY | |
| 3300185 | Medicaid | NC | |
| HSP32196 | Medicaid | CA | |
| HSP42196 | Medicaid | CA | |
| 3044310 | Medicaid | CT | |
| 110851658 | Medicaid | PA | |
| 1206575 | Medicaid | MA | |
| 21920 | Medicaid | MD | |
| 6004504 | Medicaid | NJ |
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