Provider Demographics
NPI:1346285657
Name:UNIVERSITY OF ROCHESTER
Entity Type:Organization
Organization Name:UNIVERSITY OF ROCHESTER
Other - Org Name:STRONG MEMORIAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:ANOLIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-275-3033
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 684
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0002
Mailing Address - Country:US
Mailing Address - Phone:585-784-8200
Mailing Address - Fax:585-784-8207
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:BOX 684
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0002
Practice Address - Country:US
Practice Address - Phone:585-275-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF ROCHESTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-19
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2701005H282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
10045946OtherEXCELLUS/BLUE CHOICE
06OtherEXCELLUS/ROCH BLUE CROSS
113907EUOtherPREFERRED CARE
000000742000OtherBLUE CROSS OF WNY
NY00279034Medicaid
014005906SOtherEXCELLUS/BLUE CHOICE
HO100OtherPREFERRED CARE
0120059XNOtherEXCELLUS/BLUE CHOICE
14005906OtherEXCELLUS/BLUE CHOICE
0140059SGOtherEXCELLUS/BLUE CHOICE
CL100OtherPREFERRED CARE
06XNOtherEXCELLUS/ROCH BLUE CROSS
113896EUOtherPREFERRED CARE
12005906OtherEXCELLUS/BLUE CHOICE
06SOtherEXCELLUS/ROCH BLUE CROSS
1138900AMOtherPREFERRED CARE
742003OtherBLUE CROSS OF WNY
NY00279034Medicaid
113896EUOtherPREFERRED CARE
742003OtherBLUE CROSS OF WNY
12005906OtherEXCELLUS/BLUE CHOICE