Peconic Bay Medical Center

LBN: Central Suffolk Hospital
Peconic Bay Medical Center is an health care organization with primary practice located at 1300 Roanoke Ave , Riverhead NY 11901-2031. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Central Suffolk Hospital can be contacted via phone (631) 548-6000, or through Cusack, Michele L via phone (516) 321-6508.

Contact Information

Primary practice address
1300 Roanoke Ave Riverhead NY 11901-2031
Phone: (631) 548-6000
Fax: (631) 548-6007
Website:
Map and Directions
Authorized official contact:
Name: Cusack, Michele L
Phone: (516) 321-6508

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Hospitals / General Acute Care Hospital 282N00000X 5155000H New York

Profile Details

NPI number 1386649804
LBN Legal business name Central Suffolk Hospital
DBA Doing business as Peconic Bay Medical Center
Authorized official Cusack, Michele L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated Aug 18th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386649804 NPPES
New York Other 5225-7 BC DIALYSIS
New York Other H03149 BC DIALYSIS
New York Other 0007461 BC DIALYSIS
New York Other 000250-7 BC DIALYSIS
New York MEDICAID 00274328 BC DIALYSIS
New York MEDICAID 03000300 BC DIALYSIS

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