Organization
WYOMING COUNTY
Active
Parent organization
WYOMING COUNTY
Other names
Wyoming County Community Hospital Psych
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYOMING COUNTY
Authorized official
MR. MICHAEL A. CORCIMIGLIA (COO)
(585) 786-8940
Entity
Organization
Contact information
Practice address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-2233
(585) 786-1222
Mailing address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-2233
(585) 786-1222
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
6027000H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028001
BLUE CROSS WNY
NY
05
—
00310889
—
NY
05
—
03000800
—
NY
01
—
X0
EXCELLUS BLUE CROSS
NY
Enumeration date
12/28/2005
Last updated
01/26/2015
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