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NPI Code Detail

MEDICARE: UNITED MEMORIAL MEDICAL CENTER

MEDICARE: UNITED MEMORIAL MEDICAL CENTER
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
1261QU0200XUrgent Care Clinic/Center
2282N00000XGeneral Acute Care HospitalNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2016OTHERNYCOMMUNITY BLUE
34VOTHERNYINDEPENDE HEALTH
4P014001947OTHERNYPREMIER HEALTH
5016OTHERNYBLUE CROSS WNY

General Provider Information

NPI Number : 1902800352
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED MEMORIAL MEDICAL CENTER
Provider Business Mailing Address
First Line : 127 NORTH ST
Second Line :
City : BATAVIA
State : NY
Zip : 14020-1631
Country : US
Telephone Number : 585-344-5428
Fax Number : 585-344-7470
Provider Business Practice Location Address
First Line : 127 NORTH ST
Second Line :
City : BATAVIA
State : NY
Zip : 14020-1631
Country : US
Telephone Number : 585-344-5428
Fax Number : 585-344-7470
Authorized Official
Title or Position : CFO
Name : HOWARD DAMIAN GLASTONBURY
Credential :
Telephone Number : 585-922-1595
Provider Enumeration Date : 06/13/2005
Last Update Date : 07/21/2022

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Directions to “UNITED MEMORIAL MEDICAL CENTER ” Practice Location

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