| Rome Memorial Hospital, Inc | |
|
5 Masonic Ave Camden NY 13316-1234 | |
| (315) 245-3192 | |
| (315) 245-3195 |
| Full Name | Rome Memorial Hospital, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5 Masonic Ave, Camden, 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 |
|---|---|
| Rome Memorial Hospital, Inc 245 Avery Ln Rome NY 13441-4237 Ph: (315) 337-1200 | Rome Memorial Hospital, Inc 5 Masonic Ave Camden NY 13316-1234 Ph: (315) 245-3192 |
| NPI Number | 1891113965 |
|---|---|
| Provider Enumeration Date | 04/04/2014 |
| Last Update Date | 07/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891113965 | NPI | - | NPPES |
| 04235030 | Medicaid | NY | |
| 03001434 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (New York) | Primary |