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Organization

KENMORE MERCY HOSPITAL

Active
Parent organization
KENMORE MERCY HOSPITAL
Other names
Kenmore Mercy Hospital Rehabilitation Unit
Organization subpart
Yes

Provider details

NPI number
Legal business name
KENMORE MERCY HOSPITAL
Authorized official
DAVID P MACHOLZ (CFO)
(716) 601-3690
Entity
Organization

Contact information

Practice address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 447-6100
Mailing address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 447-6100

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
1404030H
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00011412501
UNIVERA
NY
05
00354343
NY
01
040401000067
FIDELIS
NY
01
041
BLUE CROSS OF WNY
NY
01
10
INDEPENDENT HEALTH
NY
Enumeration date
07/27/2006
Last updated
08/26/2024
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