Mary M. Gooley Hemophilia Center Inc

LBN: Mary M. Gooley Hemophilia Center Inc
Mary M. Gooley Hemophilia Center Inc is an health care organization with primary practice located at 1415 Portland Ave Suite 500, Rochester NY 14621-3038. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Mary M. Gooley Hemophilia Center Inc can be contacted via phone (585) 922-5700, or through Wilmarth, Tom via phone (585) 922-5700.

Contact Information

Primary practice address
1415 Portland Ave Suite 500 Rochester NY 14621-3038
Phone: (585) 922-5700
Fax: (585) 922-5775
Website:
Map and Directions
Authorized official contact:
Name: Wilmarth, Tom
Phone: (585) 922-5700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 33D0705405 New York

Profile Details

NPI number 1568428621
LBN Legal business name Mary M. Gooley Hemophilia Center Inc
DBA Doing business as
Authorized official Wilmarth, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 2nd, 2021 - 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 1568428621 NPPES
New York Other 000921985001 BCWNY/HEALTHNOW
New York Other 103346CJ BCWNY/HEALTHNOW
New York MEDICAID 00355284 BCWNY/HEALTHNOW
New York Other 014005944 BCWNY/HEALTHNOW
New York Other 50 BCWNY/HEALTHNOW
New York Other 5643168 BCWNY/HEALTHNOW

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