Provider Demographics
NPI:1942236427
Name:WESTFIELD MEMORIAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:WESTFIELD MEMORIAL HOSPITAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SURKALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-793-2201
Mailing Address - Street 1:189 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14787-1104
Mailing Address - Country:US
Mailing Address - Phone:716-793-2200
Mailing Address - Fax:716-326-3802
Practice Address - Street 1:189 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NY
Practice Address - Zip Code:14787-1104
Practice Address - Country:US
Practice Address - Phone:716-793-2200
Practice Address - Fax:716-326-3802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0632000H282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY36OtherIHA PROVIDER NUMBER
NY87726OtherUNITED HEALTHCARE PROV #
NY69OtherBC OF WNY PROVIDER NUMBER
NY00354614Medicaid
NY0091560OtherGHI PROVIDER NUMBER
NY00011413901OtherUNIVERA PROVIDER NUMBER
NY64157OtherNORTH AMERICAN PROV #
NY62308OtherCIGNA PROVIDER NUMBER
NY330166Medicare ID - Type UnspecifiedPROVIDER NUMBER