NPIMap

Organization Active NPI

Highland Hospital

  • Primary Care Clinic/Center
  • Rochester, NY
National Provider Identifier
1629286265
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
000449-1 Issued in NY
Legal business name
HIGHLAND HOSPITAL
Practice address
1381 South Ave
Rochester, NY 14620-2830
Phone
(585) 506-9484
NPI assigned
May 18, 2007
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
Mrs. Sally Rousseau, M.S.W.NPI 1831330257
Title
Clinical Associate
Phone
(585) 506-9484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 000449-1 NY Primary

Addresses

Primary practice location

1381 South Ave
Rochester, NY 14620-2830

Mailing address

1381 South Ave
Rochester, NY 14620-2830
Phone (585) 506-9484

National Provider Directory

National Provider Directory
Tax ID family
Genesee Valley Family M10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1381 South Ave
Rochester, NY 14620
Phone (585) 506-9484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629286265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 SOUTH AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202830",
            "telephone_number": "585-506-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 SOUTH AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202830",
            "telephone_number": "585-506-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROUSSEAU",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "CLINICAL ASSOCIATE",
        "authorized_official_telephone_number": "585-506-9484",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "000449-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, 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.