Provider Demographics
NPI:1720030703
Name:THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC.
Entity Type:Organization
Organization Name:THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC.
Other - Org Name:JONES MEMORIAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENEDICT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-593-1100
Mailing Address - Street 1:191 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WELLSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14895-1150
Mailing Address - Country:US
Mailing Address - Phone:585-593-1100
Mailing Address - Fax:
Practice Address - Street 1:191 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WELLSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14895-1150
Practice Address - Country:US
Practice Address - Phone:585-593-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000000027OtherCOMMUNITY BLUE OF WNY
NY59OtherINDEPENDENT HEALTH
NY00011415501OtherUNIVERA HEALTH CARE
NY02389137Medicaid
NY00354403Medicaid
PA1007756480001OtherPENNSYLVANIA MEDICARD
NY00011415501OtherUNIVERA HEALTH CARE
NY000000027OtherCOMMUNITY BLUE OF WNY