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Organization

HART ASSOCIATES OF SPRINGVILLE, INC.

Active
Other names
Fiddler's Green Manor Nursing Home
Organization subpart
No

Provider details

NPI number
Authorized official
MR. COLIN C. HART N.H.A. (ADMINISTRATOR)
(716) 592-3172
Entity
Organization

Contact information

Practice address
168 W MAIN ST, SPRINGVILLE, NY 14141-1016
(716) 592-3172
(716) 592-2249
Mailing address
168 W MAIN ST, SPRINGVILLE, NY 14141-1016
(716) 592-3172
(716) 592-2249

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1427302
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000216000
BLUE CROSS BLUE SHIELD
01
00011436903
UNIVERA
05
00475214
NY
01
7U
INDEPENDENT HEALTH
Enumeration date
12/21/2006
Last updated
06/22/2009
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