Provider Demographics
NPI:1174063879
Name:UNION HOSPITAL OF CECIL COUNTY
Entity type:Organization
Organization Name:UNION HOSPITAL OF CECIL COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROYSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-398-3868
Mailing Address - Street 1:PO BOX 7356
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17604-7356
Mailing Address - Country:US
Mailing Address - Phone:410-398-3868
Mailing Address - Fax:410-620-3686
Practice Address - Street 1:111 W HIGH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-5529
Practice Address - Country:US
Practice Address - Phone:410-620-0008
Practice Address - Fax:410-620-1999
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNION HOSPITAL OF CECIL COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty