Organization
KENMORE MERCY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DUNLOP (SENIOR VP & CFO)
(716) 862-2431
Entity
Organization
Contact information
Practice address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 447-6100
Mailing address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 447-6100
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011412501
UNIVERA
NY
05
—
00354343
—
NY
01
—
040401000067
FIDELIS
NY
01
—
041
BLUE CROSS OF WNY
NY
01
—
10
INDEPENDENT HEALTH
NY
Enumeration date
07/31/2006
Last updated
09/17/2012
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