Provider Demographics
NPI:1417227570
Name:THE UNITY HOSPITAL OF ROCHESTER
Entity Type:Organization
Organization Name:THE UNITY HOSPITAL OF ROCHESTER
Other - Org Name:UNITY DIALYSIS AT CHILI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT HEALTH CARE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-723-7185
Mailing Address - Street 1:3379 CHILI AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-5325
Mailing Address - Country:US
Mailing Address - Phone:585-368-6899
Mailing Address - Fax:
Practice Address - Street 1:3379 CHILI AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-5325
Practice Address - Country:US
Practice Address - Phone:585-368-6899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE UNITY HOSPITAL OF ROCHESTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-06
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03530132Medicaid
NY33-3566Medicare PIN