Organization
BROOKS - TLC HOSPITAL SYSTEM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN MORRIS (CEO)
(716) 363-7260
Entity
Organization
Contact information
Practice address
529 CENTRAL AVE, DUNKIRK, NY 14048-2514
(716) 375-6490
(716) 363-7228
Mailing address
529 CENTRAL AVE, DUNKIRK, NY 14048-2514
(716) 375-6490
(716) 363-7228
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0601000H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001400701
UNIVERA
NY
01
—
040401000245
FIDELIS
NY
05
—
5Q1
—
NY
01
—
6000760
BLUE CROSS WNY
NY
01
—
H33
INDEPENDENT HEALTH
NY
Enumeration date
01/18/2006
Last updated
02/09/2024
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