Organization
EASTERN NIAGARA HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FRANCIS ICKOWSKI MBA, CPA (CHIEF FINANCIAL OFFICER)
(716) 514-5501
Entity
Organization
Contact information
Practice address
521 EAST AVE, LOCKPORT, NY 14094-3201
(716) 514-5501
(716) 514-5549
Mailing address
521 EAST AVE, LOCKPORT, NY 14094-3201
(716) 514-5501
(716) 514-5549
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
3101000H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030000
BCBS BILLING #
NY
01
—
000000031000
BCBS BILLING #
NY
01
—
00011412701
UNIVERA BILLING #
NY
05
—
00354389
—
NY
01
—
13
IHA BILLING #
NY
01
—
89
IHA BILLING #
NY
Enumeration date
10/10/2005
Last updated
07/12/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us