HEALTH SYSTEM SERVICES, LTD.

Provider Demographics

• NPI: 1366440968
• Name: HEALTH SYSTEM SERVICES, LTD.
• Entity Type: Organization
• Organization Name: HEALTH SYSTEM SERVICES, LTD.
• Authorized Official - Title/Position: PRESIDENT
• Authorized Official - Prefix: MR
• Authorized Official - First Name: ROBERT
• Authorized Official - Middle Name: A
• Authorized Official - Last Name: MINICUCCI
• Authorized Official - Phone: 716-283-2339
• Mailing Address - Street 1: 6867 WILLIAMS ROAD
• Mailing Address - City: NIAGARA FALLS
• Mailing Address - State: NY
• Mailing Address - Zip Code: 14304
• Mailing Address - Country: US
• Mailing Address - Phone: 716-283-2339
• Mailing Address - Fax: 716-283-1291
• Practice Address - Street 1: 6867 WILLIAMS ROAD
• Practice Address - City: NIAGARA FALLS
• Practice Address - State: NY
• Practice Address - Zip Code: 14304
• Practice Address - Country: US
• Practice Address - Phone: 716-283-2339
• Practice Address - Fax: 716-283-1291
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2005-07-08
• Last Update Date: 2016-07-14

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	332B00000X	Suppliers	Durable Medical Equipment & Medical Supplies
No	332BN1400X	Suppliers	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies
No	332BP3500X	Suppliers	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition
No	332BX2000X	Suppliers	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies

Provider Identifiers

State	Identifier ID	ID Type	Issuer
CT	003108017	Medicaid
NY	8290363	Other	INDEPENDENT HEALTH
VA	010274664	Medicaid
NY	892227	Other	MVP HEALTH CARE
AL	009957245	Medicaid
NY	02910323	Medicaid
VT	1007638	Medicaid
PA	1021043100001	Medicaid
NY	02118734	Medicaid
MS	04178569	Medicaid
NY	115217GD	Other	PREFERRED CARE
TN	4582320	Medicaid
NY	000551199001	Other	BCBS OF WESTERN NY
NY	000551199002	Other	BCBS OF NORTHEASTERN NY
NY	3400125	Other	GHI - GROUP HEALTH INCORP
NY	00011260701	Other	UNIVERA
GA	808655549A	Medicaid
TN	4582320	Medicaid
IL	=========1430401	Other	HFS PAYEE NUMBER
NY	02910323	Medicaid
MS	04178569	Medicaid