Organization
MERCY HOSPITAL OF BUFFALO
Active
Other names
Mercy Hospital Skilled Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P MACHOLZ (CHIEF FINANCIAL OFFICER)
(716) 828-2974
Entity
Organization
Contact information
Practice address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 826-7000
Mailing address
55 MELROY AVE, LACKAWANNA, NY 14218-1658
(716) 819-5300
(716) 819-5299
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1401008N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011412901
UNIVERA HEALTHCARE
NY
05
—
00475301
—
NY
01
—
107
HEALTHNOW
NY
01
—
40401000064
FIDELIS
NY
01
—
93
INDEPENDENT HEALTH
NY
Enumeration date
06/13/2006
Last updated
07/16/2025
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