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Organization

NEWARK WAYNE COMMUNITY HOSPITAL-LAB

Active
Parent organization
NEWARK WAYNE COMMUNITY HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEWARK WAYNE COMMUNITY HOSPITAL
Authorized official
PAULA TINCH (SVP-FINANCE)
(585) 922-1223
Entity
Organization

Contact information

Practice address
1200 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 332-2022
Mailing address
1200 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 332-2022

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11S
EXCELLUS-BCR
NY
01
P013002611
EXCELLUS-BCH
NY
Enumeration date
08/27/2007
Last updated
06/24/2014
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