Healthcare Provider Details

I. General information

NPI: 1770738791
Provider Name (Legal Business Name): CUBA MEMORIAL HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2008
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 W MAIN ST
CUBA NY
14727-1317
US

IV. Provider business mailing address

140 W MAIN ST
CUBA NY
14727-1317
US

V. Phone/Fax

Practice location:
  • Phone: 585-968-2000
  • Fax: 585-968-3898
Mailing address:
  • Phone: 585-968-2000
  • Fax: 585-968-3898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number0226700C
License Number StateNY

VIII. Authorized Official

Name: RUTH IRELAND
Title or Position: CEO
Credential:
Phone: 585-968-6751