NPIMap

Organization Active NPI

Gowanda Correctional Facility

  • Custodial Care Facility
  • Gowanda, NY
National Provider Identifier
1174629489
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
022302 Issued in NY
Legal business name
GOWANDA CORRECTIONAL FACILITY
Practice address
South Road
C/O Pharmacy
Gowanda, NY 14070-0350
Phone
(716) 532-0177
Fax
(716) 532-0177
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard A Savage
Title
Superintendent
Phone
(716) 532-0177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 022302 NY Primary

Addresses

Primary practice location

South Road
C/O Pharmacy
Gowanda, NY 14070-0350

Mailing address

PO Box 350
C/O Pharmacy
Gowanda, NY 14070-0350
Phone (716) 532-0177

National Provider Directory

National Provider Directory
Tax ID family
Monroe Ddso Clinic University269 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174629489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "address_2": "C/O PHARMACY",
            "city": "GOWANDA",
            "state": "NY",
            "postal_code": "140700350",
            "telephone_number": "716-532-0177",
            "fax_number": "716-532-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTH ROAD",
            "address_2": "C/O PHARMACY",
            "city": "GOWANDA",
            "state": "NY",
            "postal_code": "140700350",
            "telephone_number": "716-532-0177",
            "fax_number": "716-532-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOWANDA CORRECTIONAL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "716-532-0177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NY",
            "license": "022302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gowanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.