Active NPI
H C Watson Corporation
Doing business as Interim HealthCare Buffalo
- Home Health Agency
- Buffalo, NY
National Provider Identifier
1669405973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0124L001
- Legal business name
- H C WATSON CORPORATION
- Doing business as
- Interim HealthCare Buffalo
- Practice address
- 361 Delaware Ave
Suite 400
Buffalo, NY 14202-1622 - Phone
- (716) 852-5900
- Fax
- (716) 852-5913
- NPI assigned
- Jul 9, 2006
- Last updated
- Nov 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Judith C Ketteman
- Title
- Vice President/Area Manager
- Phone
- (716) 852-5900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0124L001 | NY | Primary |
Addresses
Primary practice location
361 Delaware Ave
Suite 400
Buffalo, NY 14202-1622
Mailing address
361 Delaware Ave
Suite 400
Buffalo, NY 14202-1622
Phone (716) 852-5900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00806726 | Medicaid | NY | |
| 00676393 | Medicaid | NY |
Other names 1
- Interim HealthCare Buffalo
National Provider Directory
National Provider Directory- Tax ID family
- HC Watson
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
361 Delaware Ave
Ste 400
Buffalo, NY 14202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227571200000",
"number": "1669405973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 DELAWARE AVE",
"address_2": "SUITE 400",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142021622",
"telephone_number": "716-852-5900",
"fax_number": "716-852-5913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 DELAWARE AVE",
"address_2": "SUITE 400",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142021622",
"telephone_number": "716-852-5900",
"fax_number": "716-852-5913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H C WATSON CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2008-11-25",
"status": "A",
"authorized_official_last_name": "KETTEMAN",
"authorized_official_first_name": "JUDITH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "VICE PRESIDENT/AREA MANAGER",
"authorized_official_telephone_number": "716-852-5900",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "0124L001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00806726",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00676393",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Interim HealthCare Buffalo",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.