1437197985 NPI number — ERIE COUNTY MEDICAL CENTER CORPORATION

Table of content: (NPI 1437197985)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437197985 NPI number — ERIE COUNTY MEDICAL CENTER CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ERIE COUNTY MEDICAL CENTER CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437197985
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/09/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
462 GRIDER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BUFFALO
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14215-3021
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-898-5931
Provider Business Mailing Address Fax Number:
716-898-5178

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
462 GRIDER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14215-3021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-898-5931
Provider Business Practice Location Address Fax Number:
716-898-5178
Provider Enumeration Date:
06/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCCARTHY
Authorized Official First Name:
SUE
Authorized Official Middle Name:
J
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
716-898-5931

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X , with the licence number:  1401005H , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 273R00000X , with the licence number: 1401005H , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 273Y00000X , with the licence number: 1401005H , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 276400000X , with the licence number: 1401005H , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: 1401005H , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 324500000X , with the licence number: 1401005H , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000842000 . This is a "BC NECS ALCO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000840000 . This is a "BC SECS ALCO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 245863 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000042001 . This is a "BLUE CROSS ALCO REHAB" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000042002 . This is a "BLUE CROSS IP PSYCH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 65 . This is a "IHA IP PSYCH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 08 . This is a "IHA GENERAL ACUTE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000042000 . This is a "BLUE CROSS GENERAL ACUTE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000042003 . This is a "BLUE CROSS IP REHAB" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000846000 . This is a "BC DTN ALCO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000042004 . This is a "BC OUTPT ALCO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 64 . This is a "IHA IP REHAB" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 66 . This is a "IHA ALCOHOL REHAB" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com