Organization
CENTRAL SUFFOLK HOSPITAL
Active
Other names
Peconic Bay Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL O'DONNELL (SENIOR VP FOR FINACE AND CFO)
(631) 548-6060
Entity
Organization
Contact information
Practice address
1300 ROANOKE AVE, RIVERHEAD, NY 11901-2031
(631) 548-6000
Mailing address
1300 ROANOKE AVE, RIVERHEAD, NY 11901-2031
(631) 548-6000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
5155000N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00274328
—
NY
01
—
005225
BLUE CROSS DIALYSIS
NY
Enumeration date
07/27/2006
Last updated
04/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us