| Rochester General Hospital-psych | |
|
1425 Portland Ave Rochester NY 14621 | |
| (585) 922-4000 | |
| Not Available |
| Full Name | Rochester General Hospital-psych |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1425 Portland Ave, Rochester, New York |
| Authorized Official Name and Position | Paula Tinch (SVP-FINANCE) |
| Authorized Official Contact | 5859221223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochester General Hospital-psych 1425 Portland Ave Rochester NY 14621 Ph: (585) 922-4000 | Rochester General Hospital-psych 1425 Portland Ave Rochester NY 14621 Ph: (585) 922-4000 |
| NPI Number | 1174620629 |
|---|---|
| Provider Enumeration Date | 09/19/2006 |
| Last Update Date | 06/15/2015 |
| Medicare PECOS PAC ID | 0244149474 |
|---|---|
| Medicare Enrollment ID | O20060927000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174620629 | NPI | - | NPPES |
| XE | Other | NY | BLUE CROSS |
| 00303315 | Medicaid | NY | |
| 000900001001 | Other | NY | HEALTH NOW |
| H020P | Other | NY | PREFERRED CARE |
| 0120059XE | Other | NY | BLUE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 2701003H (New York) | Primary |
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