Organization
NICHOLAS H. NOYES MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PRUNOSKE (CFO)
(585) 335-6001
Entity
Organization
Contact information
Practice address
111 CLARA BARTON ST, DANSVILLE, NY 14437
(585) 335-6001
(585) 335-4282
Mailing address
111 CLARA BARTON ST, DANSVILLE, NY 14437-9503
(585) 335-6001
(585) 335-4282
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
252700H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354476
—
NY
01
—
012006208
BLUE CHOICE
NM
01
—
08
BLUE CROSS
NY
01
—
108265CF
PREFERRED CARE
NY
Enumeration date
04/12/2007
Last updated
04/08/2021
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