Lakeside Memorial Hosp Phcy Inc
LBN: Lakeside Memorial Hospital Inc
Lakeside Memorial Hosp Phcy Inc is an health care organization with primary practice located at 156 West Ave , Brockport NY 14420-1229. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty.
Lakeside Memorial Hospital Inc can be contacted via phone (585) 395-6043, or through Dailey, Christopher via phone (585) 395-6043.
Contact Information
Primary practice address
156 West Ave
Brockport NY 14420-1229
Phone: (585) 395-6043
Fax: (585) 395-6022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Institutional Pharmacy | 3336I0012X | 012799 | New York |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1225071566 |
|---|---|
| LBN Legal business name | Lakeside Memorial Hospital Inc |
| DBA Doing business as | Lakeside Memorial Hosp Phcy Inc |
| Authorized official | Dailey, Christopher |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jan 7th, 2013 - about 13 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 | 1225071566 | NPPES |
| New York | MEDICAID | 00279543 | |
| New York | Other | 3349037 |
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