Brooks Memorial Hospital

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

0601000H Issued in NY

Legal business name

BROOKS MEMORIAL HOSPITAL

Practice address

529 Central Ave
Dunkirk, NY 14048-2514

Phone

(716) 363-7215

Fax

(716) 363-7228

NPI assigned

Jan 26, 2006

Last updated

Aug 28, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BROOKS MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Mary Elizabeth Larowe

Title

Ceo

Phone

(716) 363-7207

Specialties & licenses 1

Addresses

Part of

Brooks Memorial Hospita

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1609846948",
    "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": "716-363-7215",
            "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": "716-363-7215",
            "fax_number": "716-363-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKS MEMORIAL HOSPITAL",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "LAROWE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-363-7207"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "0601000H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Blair
• Ravinder Singh Boparai, DDS
• Tracey A. Botham, LCSW-R
• Bridging the Gap OT, LLC
• Kia Lyn Briggs
• Brooks-TLC Hospital System, Inc.
• Brooks-TLC Hospital System, Inc.
• Daniel Brunenavs, O.D.
• Christopher M Buchanan, DC
• Buffalo Vamc

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dunkirk, NY
• Providers in Dunkirk, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.