OrganizationOur Lady Of Lourdes Memorial Hospital, IncStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address169 Riverside Dr, Binghamton, NY 13905-4198(607) 798-5111PECOS EnrollmentBased on the most recent information from CMS, provider Our Lady Of Lourdes Memorial Hospital, Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1659068690Provider TypeOrganizationFull NameOur Lady Of Lourdes Memorial Hospital, IncSubpartNoEnumeration Date4/19/2023Last Updated5/22/2023Contact InformationPractice LocationPractice Address169 Riverside Dr, Binghamton, NY 13905-4198Phone(607) 798-5111FaxUnlisted FaxMailing LocationMailing Address169 Riverside Dr, Binghamton, NY 13905-4198Phone(607) 798-5111FaxUnlisted FaxAuthorized OfficialNameBronson, Lisa (Residency/Fellowship Programmanager)Phone(607) 798-5726Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer