Healthcare Provider Details

I. General information

NPI: 1881466381
Provider Name (Legal Business Name): ROME MEMORIAL HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2023
Last Update Date: 10/27/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N JAMES ST LEVEL 1
ROME NY
13440
US

IV. Provider business mailing address

245 AVERY LN
ROME NY
13441-4237
US

V. Phone/Fax

Practice location:
  • Phone: 315-338-9200
  • Fax: 315-338-9202
Mailing address:
  • Phone: 315-337-7614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: VALERIE ANN FINSTER
Title or Position: DIRECTOR, PATIENT ACCOUNTS
Credential:
Phone: 315-338-7664