Healthcare Provider Details

I. General information

NPI: 1942242706
Provider Name (Legal Business Name): SISTERS OF CHARITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 09/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2157 MAIN ST
BUFFALO NY
14214-2648
US

IV. Provider business mailing address

2157 MAIN ST
BUFFALO NY
14214-2648
US

V. Phone/Fax

Practice location:
  • Phone: 716-862-1000
  • Fax:
Mailing address:
  • Phone: 716-862-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number1401013H
License Number StateNY

VIII. Authorized Official

Name: JOSEPH D MCDONALD
Title or Position: CHS PRESIDENT/CEO
Credential:
Phone: 716-862-1900