NPIMap

Organization Active NPI

Nys Doccs Wende Correctionel Facility

  • Prison Health Clinic/Center
  • Alden, NY
National Provider Identifier
1790449726
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
NYS DOCCS WENDE CORRECTIONEL FACILITY
Practice address
3622 Wende Rd
Alden, NY 14004-1187
Phone
(716) 937-4000
NPI assigned
Oct 26, 2021
Last updated
Oct 26, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW YORK STATE DEPT OF CORRECTIONS & COMMUNITY SUPERVISIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Mr. Stewart Thomas Eckert, HEAD ADMINISTRATOR
Title
Supervising Superintendent
Phone
(716) 937-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary
Custodial Care Facility 311Z00000X

Addresses

Primary practice location

3622 Wende Rd
Alden, NY 14004-1187

Mailing address

3622 Wende Rd
PO Box 1187
Alden, NY 14004-1187
Phone (716) 937-4000

Other identifiers 1

IdentifierTypeStateIssuer
3379030OtherNYNABP

National Provider Directory

National Provider Directory
Tax ID family
RPC-Middletown Mental Health Clinic269 organizations share this tax ID, including this one
Part of
RPC-Middletown Mental Health Clinic

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

Locations

3622 Wende Rd
Alden, NY 14004
Phone (716) 937-4000

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1790449726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 WENDE RD",
            "address_2": "PO BOX 1187",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041187",
            "telephone_number": "716-937-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 WENDE RD",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041187",
            "telephone_number": "716-937-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYS DOCCS WENDE CORRECTIONEL FACILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK STATE DEPT OF CORRECTIONS & COMMUNITY SUPERVISION",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "SUPERVISING SUPERINTENDENT",
        "authorized_official_telephone_number": "716-937-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HEAD ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3379030",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.