Rome Memorial Hospital, Inc | |
13407 State Route 12 Boonville NY 13309-4954 | |
(315) 942-3500 | |
(315) 942-2044 |
Full Name | Rome Memorial Hospital, Inc |
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Speciality | Clinic/center - Primary Care |
Location | 13407 State Route 12, Boonville, New York |
Authorized Official Name and Position | Ann Marie Czyz (PRESIDENT/CEO) |
Authorized Official Contact | 3153371200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rome Memorial Hospital, Inc 245 Avery Ln Rome NY 13441-4237 Ph: (315) 337-1200 | Rome Memorial Hospital, Inc 13407 State Route 12 Boonville NY 13309-4954 Ph: (315) 942-3500 |
NPI Number | 1336100767 |
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Provider Enumeration Date | 03/28/2006 |
Last Update Date | 07/10/2023 |
Identifier | Type | State | Issuer |
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1336100767 | NPI | - | NPPES |
03001425 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |