Provider Demographics
NPI: | 1275960528 |
---|---|
Name: | ROCHESTER GENERAL HOSPITAL |
Entity Type: | Organization |
Organization Name: | ROCHESTER GENERAL HOSPITAL |
Other - Org Name: | CLINTON FAMILY HEALTH CENTER |
Other - Org Type: | Other Name |
Authorized Official - Title/Position: | CFO |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | PAULA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | TINCH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 585-922-1223 |
Mailing Address - Street 1: | 100 KINGS HWY S |
Mailing Address - Street 2: | |
Mailing Address - City: | ROCHESTER |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 14617-5504 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 585-922-1738 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 293 UPPER FALLS BLVD |
Practice Address - Street 2: | |
Practice Address - City: | ROCHESTER |
Practice Address - State: | NY |
Practice Address - Zip Code: | 14605 |
Practice Address - Country: | US |
Practice Address - Phone: | 585-922-1738 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | ROCHESTER GENERAL HOSPITAL |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2013-10-02 |
Last Update Date: | 2013-10-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 282N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 282N00000X | Hospitals | General Acute Care Hospital |