Healthcare Provider Details

I. General information

NPI: 1457519589
Provider Name (Legal Business Name): FREDERICK FERRIS THOMPSON HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 03/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 PARRISH STREET
CANANDAIGUA NY
14424-1731
US

IV. Provider business mailing address

350 PARRISH STREET
CANANDAIGUA NY
14424-1731
US

V. Phone/Fax

Practice location:
  • Phone: 585-396-6000
  • Fax:
Mailing address:
  • Phone: 585-396-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number3429000H
License Number StateNY

VIII. Authorized Official

Name: MICHAEL STAPLETON
Title or Position: CEO
Credential:
Phone: 585-396-6000