Healthcare Provider Details

I. General information

NPI: 1942236427
Provider Name (Legal Business Name): WESTFIELD MEMORIAL HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 11/09/2020
Certification Date: 11/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

189 E MAIN ST
WESTFIELD NY
14787-1104
US

IV. Provider business mailing address

189 E MAIN ST
WESTFIELD NY
14787-1104
US

V. Phone/Fax

Practice location:
  • Phone: 716-793-2200
  • Fax: 716-326-3802
Mailing address:
  • Phone: 716-793-2200
  • Fax: 716-326-3802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number0632000H
License Number StateNY

VIII. Authorized Official

Name: KAREN SURKALA
Title or Position: PRESIDENT
Credential:
Phone: 716-793-2201