NPI Database
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Contact Information

LAKESIDE MEMORIAL HOSPITAL INC
156 WEST AVE
BROCKPORT, NY14420-1229
 Phone: 585-395-6043
 Fax: 585-395-6022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LAKESIDE MEMORIAL HOSPITAL INC

NPI Number 1225071566
LBN Legal business name LAKESIDE MEMORIAL HOSPITAL INC
Authorized official CHRISTOPHER DAILEY - (DIRECTOR FO PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2006
Last updated 01/07/2013 - About 13 years ago
Identifiers
NY License # 012799
NY Medicaid 00279543
Other 3349037 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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