Healthcare Provider Details

I. General information

NPI: 1073693420
Provider Name (Legal Business Name): ROME MEMORIAL HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 W DOMINICK ST
ROME NY
13440-5809
US

IV. Provider business mailing address

1500 N JAMES ST
ROME NY
13440-2844
US

V. Phone/Fax

Practice location:
  • Phone: 315-338-7057
  • Fax:
Mailing address:
  • Phone: 315-337-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANN MARIE CZYZ
Title or Position: PRESIDENT/CEO
Credential:
Phone: 315-337-1200