NPIMap

Organization Active NPI

Brooks-TLC Hospital System, Inc.

  • General Acute Care Hospital
  • Dunkirk, NY
National Provider Identifier
1215917224
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0601000H Issued in NY
Legal business name
BROOKS-TLC HOSPITAL SYSTEM, INC.
Practice address
529 Central Ave
Dunkirk, NY 14048-2514
Phone
(716) 375-6490
Fax
(716) 363-7228
NPI assigned
Jan 18, 2006
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Kenneth Morris
Title
President
Phone
(716) 363-7260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0601000H NY Primary

Addresses

Primary practice location

529 Central Ave
Dunkirk, NY 14048-2514

Mailing address

529 Central Ave
Dunkirk, NY 14048-2514
Phone (716) 375-6490

Other practice location 1

34 Commercial St
Gowanda, NY 14070-1408
Phone (716) 532-8100

Other identifiers 5

IdentifierTypeStateIssuer
0001400701OtherNYUNIVERA
6000760OtherNYBLUE CROSS WNY
H33OtherNYINDEPENDENT HEALTH
040401000245OtherNYFIDELIS
5Q1MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040512000025 NY Part B Supplier - Clinic/Group Practice 9537158720 Receives reassigned benefits from 13 practitioners
3 other NPIs on this enrollment
Practice locations: Cassadaga, NY; Derby, NY; Dunkirk, NY; Gowanda, NY
O20090513000591 NY Part A Provider - Hospital 9537158720 3 other NPIs on this enrollment
Practice locations: Gowanda, NY; Dunkirk, NY; Cassadaga, NY; Derby, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215917224. Details of each certification follow.

Hospital certification: CCN 330229

Legal name
BROOKS - TLC HOSPITAL SYSTEM, INC.
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 14, 2024
Beds
65
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 14, 1978 in NY
Enrollment address
529 Central Ave
Dunkirk, NY 14048-2514
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Brooks-TLC Hospital System, IncCCN 330229 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kenneth Morris Individual Corporate OfficerChief Operatig Officer Jan 1, 2021
Operational/Managerial Control Jun 21, 2022
Louis Dipalma Individual Corporate Director May 9, 2008
Kevin Kearns Individual Corporate Director Jan 1, 2021
Christopher Lanski Individual Corporate Director May 9, 2008
James Edward Wild Individual Corporate Director Jan 1, 2019
Mark Andrew Burr Individual Corporate DirectorTrustee Jun 1, 2012
Timothy Cooper Individual Corporate Director Aug 26, 2019
Dana P Anderson Individual Corporate Director Jan 1, 2018
Nathan Aldrich Individual Corporate Director Jan 1, 2021
Christina Jimerson Individual Corporate Director Aug 26, 2019

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

Affiliated clinicians 266

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 266

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1215917224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 CENTRAL AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482514",
            "telephone_number": "716-375-6490",
            "fax_number": "716-363-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 CENTRAL AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482514",
            "telephone_number": "716-375-6490",
            "fax_number": "716-363-7228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Commercial St",
            "address_purpose": "LOCATION",
            "city": "Gowanda",
            "state": "NY",
            "postal_code": "140701408",
            "country_code": "US",
            "telephone_number": "716-532-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROOKS-TLC HOSPITAL SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-363-7260"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "0601000H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "0001400701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS WNY",
            "identifier": "6000760",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "H33",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040401000245",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5Q1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, NY

Sources for this page

Verify at the official NPI Registry.