1346285657 NPI number — UNIVERSITY OF ROCHESTER

Table of content: (NPI 1346285657)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346285657 NPI number — UNIVERSITY OF ROCHESTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF ROCHESTER
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:
6
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:
1346285657
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/07/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
601 ELMWOOD AVE
Provider Second Line Business Mailing Address:
BOX 684
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14642-0002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-784-8200
Provider Business Mailing Address Fax Number:
585-784-8207

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
601 ELMWOOD AVE
Provider Second Line Business Practice Location Address:
BOX 684
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14642-0002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-275-2100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ANOLIK
Authorized Official First Name:
ADAM
Authorized Official Middle Name:
P
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
585-275-3033

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  2701005H , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 10045946 . This is a "EXCELLUS/BLUE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 06 . This is a "EXCELLUS/ROCH BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 113907EU . This is a "PREFERRED CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000742000 . This is a "BLUE CROSS OF WNY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00279034 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 014005906S . This is a "EXCELLUS/BLUE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: HO100 . This is a "PREFERRED CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0120059XN . This is a "EXCELLUS/BLUE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 14005906 . This is a "EXCELLUS/BLUE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0140059SG . This is a "EXCELLUS/BLUE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: CL100 . This is a "PREFERRED CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 06XN . This is a "EXCELLUS/ROCH BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 113896EU . This is a "PREFERRED CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 12005906 . This is a "EXCELLUS/BLUE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 06S . This is a "EXCELLUS/ROCH BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1138900AM . This is a "PREFERRED CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 742003 . This is a "BLUE CROSS OF WNY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 909793700 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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