| Rome Memorial Hospital, Inc | |
|
13407 State Route 12 Boonville NY 13309-4954 | |
| (315) 942-3500 | |
| (315) 942-2044 |
| Full Name | Rome Memorial Hospital, Inc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/28/2006 |
| Last Update Date | 07/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336100767 | NPI | - | NPPES |
| 03001425 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |