Peconic Bay Medical Center
LBN: Central Suffolk Hospital
Peconic Bay Medical Center is an health care organization with primary practice located at 1300 Roanoke Ave , Riverhead NY 11901-2031. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty.
Central Suffolk Hospital can be contacted via phone (631) 548-6000, or through Cusack, Michele L via phone (516) 321-6508.
Contact Information
Primary practice address
1300 Roanoke Ave
Riverhead NY 11901-2031
Phone: (631) 548-6000
Fax: (631) 548-6007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | ||
| Hospitals / General Acute Care Hospital | 282N00000X | 5155000H | New York |
Profile Details
| NPI number | 1386649804 |
|---|---|
| LBN Legal business name | Central Suffolk Hospital |
| DBA Doing business as | Peconic Bay Medical Center |
| Authorized official | Cusack, Michele L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Aug 18th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386649804 | NPPES |
| New York | Other | 5225-7 | BC DIALYSIS |
| New York | Other | H03149 | BC DIALYSIS |
| New York | Other | 0007461 | BC DIALYSIS |
| New York | Other | 000250-7 | BC DIALYSIS |
| New York | MEDICAID | 00274328 | BC DIALYSIS |
| New York | MEDICAID | 03000300 | BC DIALYSIS |
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