Organization
ST JOSEPH'S HOSPITAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SHAFFER (VP OF FISCAL AFFAIRS, CFO)
(315) 448-5880
Entity
Organization
Contact information
Practice address
4105 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6636
(315) 329-7200
(315) 329-7203
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5880
(315) 448-6161
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00315013
—
NY
05
—
02995893
—
NY
Enumeration date
07/04/2006
Last updated
11/04/2008
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