Organization
NEWARK WAYNE COMMUNITY HOSPITAL
Active
Other names
Newark Wayne Comm Hosp - Psych
Organization subpart
No
Provider details
NPI number
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
273R00000X
Psychiatric Hospital Unit
Primary
5820000H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000900002001
HEALTHNOW PSYCH
NY
05
—
00354458
—
NY
01
—
0120026XY
BLUECHOICE INPATIENT PSY
NY
01
—
97
BLUESHIELD OUTPT PSYCH
NY
01
—
HO130P
PREFERREDCARE PSYCH
NY
01
—
XY
BLUESHIELD INPATIENT PSY
NY
Enumeration date
10/23/2006
Last updated
06/24/2014
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