Organization
LAKESIDE BEIKIRCH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KLINETOB (ADMINISTRATOR)
(585) 395-6095
Entity
Organization
Contact information
Practice address
170 WEST AVE, BROCKPORT, NY 14420-1227
(585) 395-6052
(585) 395-6007
Mailing address
170 WEST AVE, BROCKPORT, NY 14420-1227
(585) 395-6052
(585) 395-6007
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
2752301N
NY
314000000X
Skilled Nursing Facility
Primary
2752301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01137113
—
NY
01
—
106288CI
PREFERRED CARE
NY
01
—
CN
EXCELLUS
NY
Enumeration date
06/23/2005
Last updated
09/03/2015
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