Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NICHOLAS H. NOYES MEMORIAL HOSPITAL
Active
Organization
NICHOLAS H. NOYES MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PRUNOSKE (CFO)
(585) 335-6001
Entity
Organization
Contact information
Practice address
111 CLARA BARTON ST, DANSVILLE, NY 14437
(585) 335-6001
(585) 335-2769
Mailing address
111 CLARA BARTON ST, DANSVILLE, NY 14437-9503
(585) 335-6001
(585) 335-2769
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
2527000H
NY
282N00000X
General Acute Care Hospital
Primary
2527000H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000068000
BLUE CROSS OF WESTERN NY
NY
01
—
000011000010
FIDELIS CARE NY
NY
05
—
0014060920001
—
PA
05
—
00354476
—
NY
01
—
010046248
EXCELLUS OF ROCHESTER
NY
01
—
01206208
FAMILY FIRST
NY
01
—
014006208S
EXCELLUS OF ROCHESTER
NY
01
—
068
COMMUNITY SENIOR BLUE
NY
01
—
08
EXCELLUS OF ROCHESTER NY
NY
01
—
08S
EXCELLUS OF ROCHESTER
NY
01
—
095777100
FLORIDA MEDICAID
FL
01
—
100002CCF
COMMUNITY BLUE
NY
01
—
100002CF
COMMUNITY BLUE
NY
01
—
1030788D
COMMUNITY BLUE
NY
01
—
4159900
NEW JERSEY MEDICAID
NJ
01
—
6450545
AETNA
NY
Enumeration date
07/21/2006
Last updated
04/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up