Organization
RIVER PARK HEALTHCARE CENTER, INC.
Active
Other names
The Waters of Allegany
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SMITH (TREASURER)
(716) 805-1474
Entity
Organization
Contact information
Practice address
5TH ST & MAPLE AVE, ALLEGANY, NY 14706
(716) 373-2238
(716) 373-2273
Mailing address
300 GLEED AVE, THE PARK ASSOCIATES, INC, EAST AURORA, NY 14052-2980
(716) 652-2820
(716) 655-2320
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0420301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000309000
BLUE CROSS & BLUE SHIELD
NY
01
—
00030050801
UNIVERA PROVIDER #
NY
05
—
02901531
—
NY
01
—
3U
INDEPENDENT HEALTH
NY
Enumeration date
06/08/2006
Last updated
08/01/2008
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