| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BROOKS - TLC HOSPITAL SYSTEM, INC. | 1487738886 | 2024-11-08 |
The organization Brooks - Tlc Hospital System, Inc. is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1487738886. Registration indicates Brooks - Tlc Hospital System, Inc. is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Urgent Care, ) (All Other Specialties & Provider Types, ) (Clinic/Center Urgent Care, Ambulatory Health Care Facilities) (Clinic/Center, ) Access to All Hospitals (Hospitals, General Acute Care Hospital) Access to Hospital by Licensure Type-Acute Care (Hospitals, General Acute Care Hospital) (General Acute Care Hospital, ) (Hospitals, General Acute Care Hospital) (Acute IP Hospitals/ASC/IP Substance Abuse/IP Psych Facilities, ) (General Acute Care Hospital, Hospitals)
| Address | City / State | Phone / Fax |
|---|---|---|
| 33 N Main St | Cassadaga, NY 147189600 | 7165953355 / 7165953427 |
| 7020 Erie Rd | Derby, NY 140479306 | 7169470316 / 7169474423 |
| 34 Commercial St | Gowanda, NY 140701408 | 7165328100 / 7162417365 |
| Code | Practice | License No State |
|---|---|---|
| 261QU0200X PRIMARY | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Urgent Care All Other Specialties & Provider Types Clinic/Center Urgent Care Ambulatory Health Care Facilities Clinic/Center | |
| 282N00000X | Access to All Hospitals Hospitals General Acute Care HospitalAccess to Hospital by Licensure Type-Acute Care Hospitals General Acute Care Hospital General Acute Care Hospital Hospitals General Acute Care Hospital Acute IP Hospitals/ASC/IP Substance Abuse/IP Psych Facilities General Acute Care Hospital Hospitals |
| 00347544 | MEDICAID | NY |