Healthcare Provider Details

I. General information

NPI: 1184774226
Provider Name (Legal Business Name): KALEIDA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 BRYANT ST
BUFFALO NY
14222-2006
US

IV. Provider business mailing address

PO BOX 8000 DEPT. 164
BUFFALO NY
14267-0002
US

V. Phone/Fax

Practice location:
  • Phone: 716-878-7000
  • Fax: 716-692-4342
Mailing address:
  • Phone: 716-692-2160
  • Fax: 716-692-4342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number
License Number State

VIII. Authorized Official

Name: BARBARA LOSI
Title or Position: VP REVENUE CYCLE MANAGEMENT
Credential:
Phone: 716-859-8385