MEDICARE: AMHERST HOSPITAL ASSOCIATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	1215	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639178825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMHERST HOSPITAL ASSOCIATION

Provider Business Mailing Address
First Line	:	254 CLEVELAND AVE
Second Line	:
City	:	AMHERST
State	:	OH
Zip	:	44001-1620
Country	:	US
Telephone Number	:	440-988-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	254 CLEVELAND AVE
Second Line	:
City	:	AMHERST
State	:	OH
Zip	:	44001-1620
Country	:	US
Telephone Number	:	440-988-6000
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT - FINANCE CFO
Name	:	MR. JAMES SIMONE
Credential	:
Telephone Number	:	440-329-7605

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	03/28/2008

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