Healthcare Provider Details

I. General information

NPI: 1477176667
Provider Name (Legal Business Name): THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2020
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 MAIN STREET
ANDOVER NY
14806-9300
US

IV. Provider business mailing address

191 N MAIN ST
WELLSVILLE NY
14895-1150
US

V. Phone/Fax

Practice location:
  • Phone: 607-478-8421
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES HELMS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 585-593-1100