Family Wellness Center

LBN: Lakeside Memorial Hospital Inc.
Family Wellness Center is an health care organization with primary practice located at 80 West Ave Suite 209, Brockport NY 14420-1322. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Lakeside Memorial Hospital Inc. can be contacted via phone (585) 637-6044, or through Stapleton, Michael via phone (585) 395-6095.

Contact Information

Primary practice address
80 West Ave Suite 209 Brockport NY 14420-1322
Phone: (585) 637-6044
Fax: (585) 637-6053
Website:
Map and Directions
Authorized official contact:
Name: Stapleton, Michael
Phone: (585) 395-6095

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1730392929
LBN Legal business name Lakeside Memorial Hospital Inc.
DBA Doing business as Family Wellness Center
Authorized official Stapleton, Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date May 7th, 2007
Last updated Jul 14th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730392929 NPPES
New York Other 14005907 EXCELLUS-OUTPATIENT
New York MEDICAID 00279543 EXCELLUS-OUTPATIENT
New York Other PC103050AX EXCELLUS-OUTPATIENT

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