Organization
CUBA CARE
Active
Organization
CUBA CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER MOUSER (BILLING MANAGER)
(585) 968-4357
Entity
Organization
Contact information
Practice address
14 CENTER ST, CUBA, NY 14727-1002
(585) 968-4357
(585) 968-4356
Mailing address
14 CENTER ST, CUBA, NY 14727-1002
(585) 968-4357
(585) 968-4356
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010257702
UNIVERA
—
01
—
000508499002
BCBS WNY
—
05
—
01531593
—
NY
01
—
0490352
IHA
—
01
—
2598491
GHI
—
01
—
BB0370
MEDICARE - OTHER
—
Enumeration date
04/09/2008
Last updated
04/09/2008
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