SOUTH SHORE HOSPITAL CORPORATION; NPI #1053391359
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Contact Information

SOUTH SHORE HOSPITAL CORPORATION
8012 S CRANDON AVE
FINANCE DEPARTMENT
CHICAGO, IL60617-1124
 Phone: 773-356-5312
 Fax: 773-768-8154
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Acute Care Hospital

282N00000X A0[7] Hospital-General
Indicates primary specialty

NPI Profile & details for SOUTH SHORE HOSPITAL CORPORATION

NPI # 1053391359
LBN Legal business name SOUTH SHORE HOSPITAL CORPORATION
Authorized official TIMOTHY CAVENEY - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/20/2006
Last updated 08/22/2020 - About 4 years ago
Identifiers
IL License # 1706462
IL Medicaid 510204952001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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