Organization
NEWARK WAYNE COMMUNITY HOSPITAL
Active
Other names
Wayne Health Care - Neuro
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MIDOLO (VICE PRESIDENT - FINANCE)
(585) 922-1907
Entity
Organization
Contact information
Practice address
100 SUNSET DR, NEWARK, NY 14513-1068
(315) 332-2022
Mailing address
100 SUNSET DR, NEWARK, NY 14513-1068
(315) 332-2022
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5820000N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355702
—
NY
01
—
20
BLUE SHIELD
NY
01
—
P015002600
BLUE CHOICE
NY
Enumeration date
12/01/2006
Last updated
04/29/2010
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