Organization
BERTRAND CHAFFEE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MARIE HEBDON RN (NURSE ADMINISTRATOR)
(716) 592-9643
Entity
Organization
Contact information
Practice address
224 EAST MAIN ST, SPRINGVILLE, NY 14141-1443
(716) 592-2871
(716) 592-8113
Mailing address
224 EAST MAIN ST, SPRINGVILLE, NY 14141-1443
(716) 592-2871
(716) 592-8113
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1427000H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000040000
BLUE CROSS OF WESTERN NY
NY
05
—
00354150
—
NY
Enumeration date
07/20/2006
Last updated
12/31/2019
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