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Organization
UNITED MEMORIAL MEDICAL CENTER
Active
Organization
UNITED MEMORIAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD DAMIAN GLASTONBURY (CFO)
(585) 922-1595
Entity
Organization
Contact information
Practice address
127 NORTH ST, BATAVIA, NY 14020-1631
(585) 344-5428
(585) 344-7470
Mailing address
127 NORTH ST, BATAVIA, NY 14020-1631
(585) 344-5428
(585) 344-7470
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354283
—
NY
01
—
016
COMMUNITY BLUE
NY
01
—
4V
INDEPENDE HEALTH
NY
01
—
P014001947
PREMIER HEALTH
NY
Enumeration date
06/13/2005
Last updated
07/21/2022
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